Jennifer Rainey-Yates, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT60135582 Issued in WA

Practice address

7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337

Phone

(360) 597-4048

Fax

(360) 597-4572

NPI assigned

Apr 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prism Pediatric Therapy Associates PLLC

  • Pediatric Physical Therapist
  • Vancouver, WA
  • NPI 1336506823

  Pediatrics

  NPD Authorized official
• Speech and Occupational Specialists, LLC

  • Clinic/Center
  • Winter Garden, FL
  • NPI 1215288667
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1508080367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658337",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658337",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY-YATES",
        "first_name": "JENNIFER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "WA",
            "license": "PT60135582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Raia, LCSW
• Hamilton Raiford, B.S.
• Jennifer Railing, AAC
• Rainbow Adult Family Home, Inc.
• Alexander T Raines
• Lindsay Renee Rainford, LMHC
• Rainier Case Management
• Rainier Springs Physician Group, LLC
• Rainier Springs, LLC
• Shareen Raji

• All providers in Vancouver, WA
• Pediatric Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.