Active NPI
Irene Prepula, PT
- Physical Therapist
- Battle Ground, WA
National Provider Identifier
1639165681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000946
- Practice address
- 18503 NE 219TH St
Battle Ground, WA 98604-9282 - Phone
- (360) 687-5666
- Fax
- (360) 666-8346
- NPI assigned
- Sep 26, 2005
- Last updated
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00000946 | WA | Primary |
| Physical Therapist | 225100000X | 0520 | OR |
Addresses
Primary practice location
18503 NE 219TH St
Battle Ground, WA 98604-9282
Mailing address
PO Box 893
Battle Ground, WA 98604-0893
Phone (360) 687-5666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7297609 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0520 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465862400000",
"number": "1639165681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 893",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986040893",
"telephone_number": "360-687-5666",
"fax_number": "360-666-8346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18503 NE 219TH ST",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049282",
"telephone_number": "360-687-5666",
"fax_number": "360-666-8346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREPULA",
"first_name": "IRENE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2016-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000946",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "0520",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7297609",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
- Joellen Podlog, PA-C
- Mikhail Podlog, D.O.
- Bailey Porter, LMP
- Cheryl Porter
- Arnoldo Prado Orozco, RDH
- Tyler Scott Pritchard, DDS
- Proactive Orthopedic and Sports Physical Therapy of Battle Ground
- Providence Health & Services - Oregon (Providence Medical Group)
- Providence Health & Services-Oregon (Providence Radiology-Battleground)
- Ana Puente, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.