Individual provider Active NPI

Dina K Lund, PT

  • Physical Therapy Clinic/Center
  • Omak, WA
National Provider Identifier
1528086899
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT00003457 Issued in WA
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

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0260667OtherWAL&I
G8934909OtherWAMEDICARE
8420861MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT00003457WAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
North Cascades Physical Therapy LLC Physical Therapy CurrentSince Oct 1, 2014 Accepting new patients
Danielle Lowary Occupational Therapy LLC Physical Therapy PastSince May 17, 2020 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.

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.

Verify at the official NPI Registry.