Active NPI
Kevin Dejong, DPT
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1689167744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216 - Phone
- (509) 242-3944
- NPI assigned
- Jun 12, 2018
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
12410 E Sinto Ave Ste 205
Spokane Valley, WA 99216
Mailing address
100 Dennis St SW
Ste B
Tumwater, WA 98501-6523
Phone (360) 338-0181
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspire Physical & Hand Therapy Spokane Inc. P.S. | Past | Accepting new patients | |
| Summit Rehab Valley Corporation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Spokane, WA
- NPI 1447417357
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1932243425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1689167744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DENNIS ST SW",
"address_2": "STE B",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985016523",
"telephone_number": "360-338-0181",
"fax_number": "360-338-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12410 E SINTO AVE STE 205",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"telephone_number": "509-242-3944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJONG",
"first_name": "KEVIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.