Organization Active NPI

St Luke's Rehabilitation Institute

  • Assistive Technology Practitioner Rehabilitation Counselor
  • Rosalia, WA
National Provider Identifier
1710949086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X
Legal business name
ST LUKE'S REHABILITATION INSTITUTE
Practice address
39424 S Bruce Rd
Rosalia, WA 99170-9714
Phone
(509) 523-5232
NPI assigned
Apr 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leona Kay Budde, BS
Title
Exercise Physiologist
Phone
(509) 473-6013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistive Technology Practitioner Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225CA2400X Primary

Addresses

Primary practice location

39424 S Bruce Rd
Rosalia, WA 99170-9714

Mailing address

39424 S Bruce Rd
Rosalia, WA 99170-9714

National Provider Directory

National Provider Directory
Tax ID family
Tara Littlejohn Gonzales MD - Arbor Pediatrics107 organizations share this tax ID, including this one

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710949086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39424 S BRUCE RD",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "991709714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39424 S BRUCE RD",
            "city": "ROSALIA",
            "state": "WA",
            "postal_code": "991709714",
            "telephone_number": "509-523-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S REHABILITATION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUDDE",
        "authorized_official_first_name": "LEONA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "EXERCISE PHYSIOLOGIST",
        "authorized_official_telephone_number": "509-473-6013",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosalia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.