Robin Lysane Pelletier, PT, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005570 Issued in WA

Practice address

106 E 15TH St
Vancouver, WA 98663-3401

Phone

(360) 750-5850

Fax

(360) 750-7244

NPI assigned

Nov 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Early Choice Pediatric Therapy, PLLC

  • Developmental Disabilities Clinic/Center
  • Vancouver, WA
  • NPI 1114098274
  NPD (past) Authorized official

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568533628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W 36TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986601936",
            "telephone_number": "360-258-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 15TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633401",
            "telephone_number": "360-750-5850",
            "fax_number": "360-750-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ROBIN",
        "middle_name": "LYSANE",
        "credential": "PT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8335184",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Peer
• Kyra Peerenboom
• Kathryn Laurene Peil
• Sotheary Pel, PHARMACIST
• Misty Geneine Pelagalli, RC
• Alexis Carrie Pelton, DMD
• Joylynn Comia Penaloza, PSY.D., LMHC
• Kathryn Pence, PA-C
• Cosmo Yuchen Peng, DDS
• Doris T Peng, PHARMACIST

• 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 Jul 8, 2007; 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.