Bruce Harlow Whiteside, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025208PT00003202 Issued in WA

Practice address

1110 N. 35TH Ave
Yakima, WA 98902-7800

Phone

(509) 457-0202

Fax

(509) 457-0404

NPI assigned

Jan 30, 2007

Last updated

Jun 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1983

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RPM Rehab, Inc

  dba Cascade Summit Physical Therapy

  • Massage Therapist
  • Yakima, WA
  • NPI 1316903123

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Bruce Harlow Whiteside

  dba Orthopedic Physical Therapy

  • Physical Therapist
  • Yakima, WA
  • NPI 1477699783
  Authorized official Same address or phone

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1669518080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027800",
            "telephone_number": "509-457-0202",
            "fax_number": "509-457-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N. 35TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027800",
            "telephone_number": "509-457-0202",
            "fax_number": "509-457-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "BRUCE",
        "middle_name": "HARLOW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "025208PT00003202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7059157",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa White
• Shannon L. White, M.S., LMHC
• Teresa L White, RN
• Valerie Michele White, NP
• Kathlyn Moiselle Whitehurst
• Whitmer & Associates, Inc. (The Middle Way Counseling Clinic)
• Scott A Whitmer, M.ED, CRC, CDMS, ABV
• Andrew D. Whitmont, PH.D
• Jerry Robert Whitney, M.H. LICENSE
• Lynnette Erin Whitney, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.