Active NPI
John L McKinnon, PT
- Physical Therapist
- Spokane, WA
National Provider Identifier
1497739031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2642
- Practice address
- 1111 W Wellesley Ave
Four Seasons Physical Therapy
Spokane, WA 99205-1274 - Phone
- (509) 327-1578
- Fax
- (509) 327-1596
- NPI assigned
- Dec 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2642 | WA | Primary |
Addresses
Primary practice location
1111 W Wellesley Ave
Four Seasons Physical Therapy
Spokane, WA 99205-1274
Mailing address
1111 W Wellesley Ave
Spokane, WA 99205-1274
Phone (509) 448-9358
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R12248 | Other | WA | L AND I |
| 7022700 | Medicaid | WA | |
| 8345837 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2642 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497739031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W WELLESLEY AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051274",
"telephone_number": "509-448-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W WELLESLEY AVE",
"address_2": "FOUR SEASONS PHYSICAL THERAPY",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051274",
"telephone_number": "509-327-1578",
"fax_number": "509-327-1596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "JOHN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "2642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L AND I",
"identifier": "R12248",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7022700",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8345837",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.