Individual provider Active NPI

Peter J Teeple, PT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1619984531
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006398 Issued in WA
Practice address
507 S Washington Ave
Suite 10
Spokane, WA 99204
Phone
(509) 242-6002
Fax
(509) 624-5061
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00006398 WA Primary

Addresses

Primary practice location

507 S Washington Ave
Suite 10
Spokane, WA 99204

Mailing address

4704 S Windward CT
Spokane, WA 99223
Phone (509) 448-3546

Other identifiers 1

IdentifierTypeStateIssuer
8378069MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000917 WA Practitioner - Physical Therapist in Private Practice 1052308137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RPM Rehab IncGroup PAC ID 0244313187, 19 clinicians

Practice addresses (Care Compare)

765 E Holland Ave
Suite 3
Spokane, WA 99218-1280
Phone (509) 824-1996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RPM Rehab, Inc Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 23, 2024 Accepting new patients

Locations

330 Franklin Rd
Ste 102
Brentwood, TN 37027
Phone (760) 256-2800

13555 SE 36th St
Ste 100
Bellevue, WA 98006

765 E Holland Ave
Ste 3
Spokane, WA 99218
Phone (509) 824-1996

1608 S 24th Ave
Ste 102
Yakima, WA 98902
Phone (509) 248-6113

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619984531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 S WINDWARD CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99223",
            "telephone_number": "509-448-3546",
            "fax_number": "509-624-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON AVE",
            "address_2": "SUITE 10",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-242-6002",
            "fax_number": "509-624-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEPLE",
        "first_name": "PETER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378069",
            "state": "WA"
        }
    ],
    "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.