Eagle Rock Physical Therapy, PS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003294 Issued in WA

Legal business name

EAGLE ROCK PHYSICAL THERAPY, PS

Practice address

411 Hospital Way
Brewster, WA 98812

Phone

(509) 689-4301

Fax

(509) 689-4307

NPI assigned

Feb 19, 2008

Last updated

Nov 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shawn Isenhart, DPTNPI 1073844189

Title

President

Phone

(509) 689-4301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 3

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.

• Shawn Michael Isenhart, DPT

  • Physical Therapist
  • Brewster, WA
  • NPI 1073844189
  Medicare reassignment NPD Authorized official
• Shannon Hampe, LMP

  • Health Service Clinic/Center
  • Brewster, WA
  • NPI 1356735039
  NPD (past)
• Ryann Joy Joyner, LMT

  • Massage Therapist
  • Okanogan, WA
  • NPI 1447715412
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541980800000",
    "number": "1700054186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "address_2": "411 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "988120769",
            "telephone_number": "509-689-4301",
            "fax_number": "509-689-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HOSPITAL WAY",
            "city": "BREWSTER",
            "state": "WA",
            "postal_code": "98812",
            "telephone_number": "509-689-4301",
            "fax_number": "509-689-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2590 Elmway",
            "address_purpose": "LOCATION",
            "city": "Okanogan",
            "state": "WA",
            "postal_code": "988409629",
            "country_code": "US",
            "telephone_number": "509-689-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE ROCK PHYSICAL THERAPY, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2018-11-12",
        "status": "A",
        "authorized_official_last_name": "ISENHART",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-689-4301",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7131659",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Duane L Rana P S
• Elias Driessen, DPT
• Anne Dubosky, DO
• DW Family Eye Care PLLC (Valley View)
• Eagle Rock Physical Therapy PLLC
• Jean Ann Ekvall, RD, DRPH, CHES, RN
• Amy E Ellingson, M.D.
• Joshua Lee Emmil
• Family Health Centers
• Family Health Centers

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.