Active NPI
Phillip Michael Halabuk
- Physical Therapist
- Spokane, WA
National Provider Identifier
1598287443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60764003
- Practice address
- 7411 N Nevada St
Spokane, WA 99208-5518 - Phone
- (509) 489-2273
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60764003 | WA | Primary |
Addresses
Primary practice location
7411 N Nevada St
Spokane, WA 99208-5518
Mailing address
3916 N Argonne Rd Unit B103
Spokane, WA 99212-1844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60764003 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1598287443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 N ARGONNE RD UNIT B103",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992121844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7411 N NEVADA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085518",
"telephone_number": "509-489-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALABUK",
"first_name": "PHILLIP",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60764003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.