Squak Mountain Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SQUAK MOUNTAIN PHYSICAL THERAPY, INC.

Practice address

5825 221St PL SE
Ste 206
Issaquah, WA 98027-8927

Phone

(425) 392-8335

Fax

(425) 392-8338

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Hollis Lehman, PTNPI 1902997406

Title

Owner/President

Phone

(425) 392-8335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Hollis Lehman, PT

  • Physical Therapist
  • Issaquah, WA
  • NPI 1902997406
  Medicare reassignment Care Compare group NPD Authorized official
• Emilie Lynne Lehman West, DPT

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
  • NPI 1144716085
  Medicare reassignment Care Compare group NPD
• Lori Jenette Goerlitz, L.AC.

  • Acupuncturist
  • Issaquah, WA
  • NPI 1063699445
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1497936892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "STE 206",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-392-8335",
            "fax_number": "425-392-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 221ST PL SE",
            "address_2": "STE 206",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278927",
            "telephone_number": "425-392-8335",
            "fax_number": "425-392-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUAK MOUNTAIN PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "HOLLIS",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "425-392-8335",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryn Amara Spangler, LMP
• Heather Marie Spence, PSY.D.
• James F Spiegel, M.D.
• Spineworks,PLLC
• Catherine Springman, LMT
• Sarah Christine Squires, COTA/L
• Holly June Stafford, DNP, ARNP
• Sarah Loughran Stanos, D.O.
• Jessica Stark, PSYD
• Cheryl A C Steele, MA, LMHCA

• Physical Therapy Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.