Organization Active NPI

Youthful Horizons Physical Therapy P S

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1699823898
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
602035467 Issued in WA
Legal business name
YOUTHFUL HORIZONS PHYSICAL THERAPY P S
Practice address
325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone
(509) 921-9798
Fax
(509) 921-9774
NPI assigned
Jan 6, 2007
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Jonathan WalterNPI 1770885279
Title
Owner
Phone
(509) 921-9798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 602035467 WA Primary

Addresses

Primary practice location

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164

Mailing address

325 S University Rd Ste 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000072 WA Part B Supplier - Clinic/Group Practice 2062301468 Receives reassigned benefits from 5 practitioners
Practice locations: Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

325 S University Rd
Spokane Valley, WA 99206
Phone (509) 921-9798

325 S University Rd
Ste 101
Spokane Valley, WA 99206
Phone (509) 921-9798

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1699823898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "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": "325 S UNIVERSITY RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066164",
            "telephone_number": "509-921-9798",
            "fax_number": "509-921-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHFUL HORIZONS PHYSICAL THERAPY P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "WALTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-921-9798"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "602035467",
            "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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.