Active NPI
Nathan Gilpin, DPT
- Physical Therapist
- Richland, WA
National Provider Identifier
1700260544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61167387
- Practice address
- 1268 Lee Blvd
Richland, WA 99352-4231 - Phone
- (509) 942-2660
- NPI assigned
- Jul 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61167387 | WA | Primary |
| Physical Therapist | 225100000X | 61069 | OR |
Addresses
Primary practice location
1268 Lee Blvd
Richland, WA 99352-4231
Mailing address
4816 Antigua Dr
Pasco, WA 99301-8256
Phone (503) 341-1453
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61069 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
6825 Burden Blvd
Ste D
Pasco, WA 99301
Phone (509) 416-0444
1908 George Washington Way
Ste B
Richland, WA 99354
Phone (509) 375-1015
Organizations & group practices 1
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.
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1700260544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4816 ANTIGUA DR",
"city": "PASCO",
"state": "WA",
"postal_code": "993018256",
"telephone_number": "503-341-1453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1268 LEE BLVD",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993524231",
"telephone_number": "509-942-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILPIN",
"first_name": "NATHAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-10",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61167387",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "61069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.