Dwight Anunciado, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006791 Issued in WA

Practice address

223 E Reserve St Ste 104
Vancouver, WA 98661-3875

Phone

(360) 713-2500

Fax

(360) 573-1502

NPI assigned

Aug 1, 2006

Last updated

Aug 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anunciado Enterprises PC

  dba 360 Physical Therapy

  • Physical Therapist
  • Vancouver, WA
  • NPI 1356554885
  Authorized official Same address or phone
• Bauer Medical Group

  dba Osteopathic Medical Associates

  • General Practice Physician
  • Milwaukie, OR
  • NPI 1881022358
  NPD (past)
• Osteopathic Medical Associates

  • Neuromusculoskeletal Medicine & OMM Physician
  • Milwaukie, OR
  • NPI 1457555666
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1639185309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E RESERVE ST STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613875",
            "telephone_number": "360-573-2266",
            "fax_number": "360-573-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E RESERVE ST STE 104",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613875",
            "telephone_number": "360-713-2500",
            "fax_number": "360-573-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUNCIADO",
        "first_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann L Anthony, PHARM.D., BCPS
• Carlos Antolin, D.M.D.
• Liliana Antonelli
• Mark Anuchin, LD
• Anunciado Enterprises PC (360 Physical Therapy)
• Onyekachi Anya
• Eddie Dean Anzalone, MA60756602
• David Aoki, CO
• Jan M Apland-Curtis
• Brian Keith Apling, A.T.,C.

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; 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.