Vancouver Rehabilitation & Therapy Clinic PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

601504035 Issued in WA

Legal business name

VANCOUVER REHABILITATION & THERAPY CLINIC PS

Practice address

9430 NE Vancouver Mall Dr
Vancouver, WA 98662-6172

Phone

(360) 256-9827

Fax

(360) 256-9547

NPI assigned

Feb 12, 2007

Last updated

Mar 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dean M. Barrus, PTNPI 1669453353

Title

Owner

Phone

(360) 256-9827

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dean Milton Barrus, PT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1669453353
  Medicare reassignment Care Compare group NPD Authorized official
• Samuel Robert Henrikson, DPT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1649956251
  Medicare reassignment Care Compare group NPD
• Daniel McGill, PT

  • Physical Therapist
  • Camas, WA
  • NPI 1992276448
  Medicare reassignment Care Compare group NPD
• Melissa Ramirez, DPT

  • Physical Therapist
  • Battle Ground, WA
  • NPI 1306372438
  Medicare reassignment Care Compare group NPD
• Elnathan Eldredge

  • Physical Therapist
  • Vancouver, WA
  • NPI 1689073348
  Medicare reassignment NPD
• Dennis James Gavin, PT

  • Physical Therapist
  • Battle Ground, WA
  • NPI 1982120515
  Medicare reassignment NPD
• Amanda Kate McConaughey, DPT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1023741303
  Medicare reassignment NPD
• Tomiko Joy Saldia, MS, PT

  • Physical Therapist
  • Vancouver, WA
  • NPI 1508841586
  Medicare reassignment NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1528109337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 NE VANCOUVER MALL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626172",
            "telephone_number": "360-256-9827",
            "fax_number": "360-256-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 NE VANCOUVER MALL DR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626172",
            "telephone_number": "360-256-9827",
            "fax_number": "360-256-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER REHABILITATION & THERAPY CLINIC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "BARRUS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-256-9827",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "601504035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.