Active NPI
Kristine Vaz, DPT
- Physical Therapist
- Pasco, WA
National Provider Identifier
1508479130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3807 W Court St
Pasco, WA 99301-2778 - Phone
- (509) 547-3725
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
3807 W Court St
Pasco, WA 99301-2778
Mailing address
3807 W Court St
Pasco, WA 99301-2778
Phone (509) 547-3725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61050490 | Other | WA | PT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3807 W Court St
Pasco, WA 99301-2778
Phone (509) 547-3725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy P C | Physical Therapist | Current | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
830 N Columbia Center Blvd
Ste D
Kennewick, WA 99336
Phone (509) 783-3444
3807 W Court St
Pasco, WA 99301
Phone (509) 547-3725
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1508479130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3807 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993012778",
"telephone_number": "509-547-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807 W COURT ST",
"city": "PASCO",
"state": "WA",
"postal_code": "993012778",
"telephone_number": "509-547-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAZ",
"first_name": "KRISTINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2024-11-07",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT",
"identifier": "61050490",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.