Javier Ascanio Pellon, DPT

Individual provider Active NPI Physical Therapist · Wenatchee, WA

NPI 1598435315 · NPPES record last updated Sep 14, 2021

Key facts

NPI
1598435315
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone
(509) 665-3156
NPI assigned
Sep 14, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137

Mailing address

18 N Worthen St Ste 200
Wenatchee, WA 98801-6137
Phone (509) 665-3156

Other providers in Wenatchee, WA

All providers in Wenatchee, WA · Physical Therapist in Washington

Sources for this page

Verify at the official NPI Registry.