Victor Keeno Attoh, DPT
Individual provider Active NPI Physical Therapist · Walla Walla, WA
NPI 1689978660 · NPPES record last updated Dec 19, 2022
Key facts
- NPI
- 1689978660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT60494181 (WA)
- Practice address
- 1129 S 2ND Ave
Walla Walla, WA 99362-4100 - Phone
- (509) 525-3720
- Fax
- (509) 527-8929
- NPI assigned
- Jan 5, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Brody School of Medicine at East Carolina University, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agility PT PLLC
Practice addresses (Care Compare)
614 E Alder St
Suite 4
Walla Walla, WA 99362-2073
Phone (509) 676-2122
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141007001916 | WA | Practitioner - Physical Therapist in Private Practice | 9133349533 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility PT PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
614 E Alder St
Ste 4
Walla Walla, WA 99362
Phone (509) 522-0501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60494181 | WA | Yes |
Addresses
Primary practice location
1129 S 2ND Ave
Walla Walla, WA 99362-4100
Mailing address
55 W Tietan St
Walla Walla, WA 99362-4445
Phone (509) 525-3720
Other providers in Walla Walla, WA
- Shirley H Ashley
- Assisted Living Concepts Inc
- Assisted Living Concepts, LLC
- Jill Atchison
- Atomic2 Dermatology PLLC
- Janet Claire Atwater
- Julian Aurigui
- Kathryn Jane Austin
- Tiffany Auxier
- Alina Renee Avalos
All providers in Walla Walla, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.