Organization 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
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7123342MedicaidWA
0181044OtherWALABOR & INDUSTRIES

Other names 1

  • Sports Therapy And Rehabilitation Institute Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.