Northwest Return to Work Mt Vernon

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT00006201 Issued in WA

Legal business name

NORTHWEST RETURN TO WORK MT VERNON

Practice address

1600 Roosevelt Ave
Suite B
Mount Vernon, WA 98273-2646

Phone

(360) 424-5215

Fax

(360) 424-4074

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Troy Stang, MS,PTNPI 1336295146

Title

Owner

Phone

(360) 424-5215

Specialties & licenses 1

Addresses

Other names 1

• Valley Rehab PT AND RTW CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Troy Glen Stang, MS, PT

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1336295146
  Medicare reassignment Care Compare group NPD Authorized official
• Florie Gonzales Jr., OTR/L, CHT

  • Occupational Therapist
  • Everett, WA
  • NPI 1003823360
  Medicare reassignment Care Compare group NPD
• Alisa Faith James, DPT

  • Physical Therapist
  • Lake Stevens, WA
  • NPI 1780177683
  Medicare reassignment Care Compare group NPD
• Alexandra Jordan, PT, DPT

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1891300745
  Medicare reassignment Care Compare group NPD
• Duane T Kiyota Jr., DPT

  • Physical Therapist
  • South Portland, ME
  • NPI 1922474634

  WA

  Medicare reassignment Care Compare group NPD
• Chelsea Mae Peterson, OTR/L

  • Occupational Therapist
  • Mount Vernon, WA
  • NPI 1194185371
  NPD (past)

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1609279017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROOSEVELT AVE",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732646",
            "telephone_number": "360-424-5215",
            "fax_number": "360-424-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ROOSEVELT AVE",
            "address_2": "SUITE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982732646",
            "telephone_number": "360-424-5215",
            "fax_number": "360-424-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RETURN TO WORK MT VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "STANG",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-424-5215",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00006201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Rehab PT AND RTW CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Comprehensive Pain Consultants Inc P S
• Northwest Dental Sleep & Wellness Center
• Northwest Orthopaedic Surgeons, P.S.
• Northwest Pathology PLLC
• Northwest Physical Therapy Sports Rehabilitation Center, Inc., P.S.
• Northwest Urology Clinic Inc
• Ann Bouska Novak
• Matthew John Novak, MD
• Maria Guadalupe Nunez Michel
• Tom A O'Brien-Wilson

• Orthopedic Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Orthopedic Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.