NPIMap

Organization Active NPI

Northwest Medical Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
National Provider Identifier
1508804105
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NORTHWEST MEDICAL REHABILITATION
Practice address
1315 N Division St Ste a
Spokane, WA 99202-1899
Phone
(509) 624-0908
Fax
(509) 459-0881
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Karen A Stanek, MD, PHD
Title
Owner
Phone
(509) 624-0908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

1315 N Division St Ste a
Spokane, WA 99202-1899

Mailing address

1315 N Division St Ste a
Spokane, WA 99202-1899
Phone (509) 624-0908

Other identifiers 1

IdentifierTypeStateIssuer
7082035MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1508804105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N DIVISION ST STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021899",
            "telephone_number": "509-624-0908",
            "fax_number": "509-459-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 N DIVISION ST STE A",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021899",
            "telephone_number": "509-624-0908",
            "fax_number": "509-459-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "STANEK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-624-0908",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082035",
            "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 Apr 10, 2019; 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.