Prana Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRANA PHYSICAL THERAPY

Practice address

118 Downing Ave N
North Bend, WA 98045-8301

Phone

(503) 662-6403

NPI assigned

Oct 4, 2018

Organization subpart

No

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

Authorized official

Name

Kim Stewart

Title

Administration

Phone

(503) 662-6403

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538611200000",
    "number": "1629543749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 DOWNING AVE N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458301",
            "telephone_number": "503-662-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 DOWNING AVE N",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980458301",
            "telephone_number": "503-662-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRANA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "503-662-6403"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatianna Para, LMT
• Jenna Laurize Patterson, CDP
• Gereg A Pfiffner, DC
• Phases Clinic, PLLC
• Ann Plana, MA, LMHCA
• Jody Welcker Provine, PTA
• Public Hospital District No 4 King County Washington
• Cole Puckett
• QFC
• Rainier Emergency Services PS

• Physical Therapist in North Bend, WA
• Providers in North Bend, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.