Active NPI
Empire Star Ventures LLC
Doing business as Sports Therapy And Rehabilitation Institute
- Physical Therapy Clinic/Center
- Spokane Valley, WA
National Provider Identifier
1538244017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- EMPIRE STAR VENTURES LLC
- Doing business as
- Sports Therapy And Rehabilitation Institute
- Practice address
- 12410 E Sinto Ave
Suite 203
Spokane Valley, WA 99216-2199 - Phone
- (509) 927-7827
- Fax
- (509) 928-7556
- NPI assigned
- Oct 25, 2006
- Last updated
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stephen Norman Schaefer, PT
- Title
- Administrative Director
- Phone
- (509) 467-1244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
12410 E Sinto Ave
Suite 203
Spokane Valley, WA 99216-2199
Mailing address
12410 E Sinto Ave
Suite 203
Spokane Valley, WA 99216-2199
Phone (509) 927-7827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7123342 | Medicaid | WA | |
| 0181044 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Sports Therapy And Rehabilitation Institute
National Provider Directory
National Provider DirectoryLocations
12410 E Sinto Ave
Ste 203
Spokane Valley, WA 99216
Phone (509) 927-7827
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Spokane, WA
- NPI 1124190897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1538244017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12410 E SINTO AVE",
"address_2": "SUITE 203",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162199",
"telephone_number": "509-927-7827",
"fax_number": "509-928-7556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 E SINTO AVE",
"address_2": "SUITE 203",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162199",
"telephone_number": "509-927-7827",
"fax_number": "509-928-7556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPIRE STAR VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "SCHAEFER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "NORMAN",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "509-467-1244",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7123342",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "0181044",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sports Therapy And Rehabilitation Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.