Active NPI
Dina K Lund, PT
- Physical Therapy Clinic/Center
- Omak, WA
National Provider Identifier
1528086899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT00003457
- Practice address
- 700B Okoma Dr
Omak, WA 98841-9593 - Phone
- (509) 557-4199
- Fax
- (866) 299-1497
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003457 | WA | |
| Physical Therapy Clinic/Center | 261QP2000X | PT00003457 | WA | Primary |
Addresses
Primary practice location
700B Okoma Dr
Omak, WA 98841-9593
Mailing address
700B Okoma Dr
Omak, WA 98841-9593
Phone (509) 557-4199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0260667 | Other | WA | L&I |
| G8934909 | Other | WA | MEDICARE |
| 8420861 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040423000718 | WA | Practitioner - Physical Therapist in Private Practice | 9234125279 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
700 B Okoma Dr
Omak, WA 98841-9593
Phone (509) 557-4199
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00003457 | WA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Cascades Physical Therapy LLC | Physical Therapy | Current | Accepting new patients |
| Danielle Lowary Occupational Therapy LLC | Physical Therapy | Past | Accepting new patients |
| Healthforce Occupational Medicine | Physical Therapist | Past | Accepting new patients |
Locations
2590 Elmway
Okanogan, WA 98840
Phone (509) 557-6464
700 Okoma Dr
#B
Omak, WA 98841
700B Okoma Dr
Omak, WA 98841
Phone (509) 557-4199
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Omak, WA
- NPI 1457657975
Physical Therapy, WA
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Omak, WA
- NPI 1871115048
Physical Therapy
-
- Physician Assistant
- Bellevue, WA
- NPI 1538344676
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1528086899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700B OKOMA DR",
"city": "OMAK",
"state": "WA",
"postal_code": "988419593",
"telephone_number": "509-557-4199",
"fax_number": "866-299-1497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700B OKOMA DR",
"city": "OMAK",
"state": "WA",
"postal_code": "988419593",
"telephone_number": "509-557-4199",
"fax_number": "866-299-1497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUND",
"first_name": "DINA",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003457",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "WA",
"license": "PT00003457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0260667",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "G8934909",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8420861",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omak, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.