Active NPI
Lisa Machado, MSPT
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1669647277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009694
- Practice address
- 13607 E Sprague Ave
Spokane Valley, WA 99216-0809 - Phone
- (509) 921-9798
- Fax
- (509) 921-9774
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00009694 | WA | Primary |
Addresses
Primary practice location
13607 E Sprague Ave
Spokane Valley, WA 99216-0809
Mailing address
13607 E Sprague Ave
Spokane Valley, WA 99216-0809
Phone (509) 921-9798
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT00009694 | Other | WA | STATE LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1669647277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13607 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160809",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13607 E SPRAGUE AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992160809",
"telephone_number": "509-921-9798",
"fax_number": "509-921-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHADO",
"first_name": "LISA",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PT00009694",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.