Organization Active NPI

NKS Rehab PLLC

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1700062890
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00006117 Issued in WA
Legal business name
NKS REHAB PLLC
Practice address
707 W 5TH Ave
Spokane, WA 99204-2739
Phone
(509) 838-6060
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Authorized official

Name
Dawnitta Diane Schell
Title
Accounts/Credentialing Manager
Phone
(509) 325-1977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00006117 WA Primary

Addresses

Primary practice location

707 W 5TH Ave
Spokane, WA 99204-2739

Mailing address

PO Box 2886
Spokane, WA 99220-2886
Phone (509) 838-6060

Other identifiers 1

IdentifierTypeStateIssuer
7125263MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200873600000",
    "number": "1700062890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2886",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202886",
            "telephone_number": "509-838-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042739",
            "telephone_number": "509-838-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKS REHAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-21",
        "status": "A",
        "authorized_official_last_name": "SCHELL",
        "authorized_official_first_name": "DAWNITTA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "ACCOUNTS/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "509-325-1977"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7125263",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.