Organization Active NPI

Washington Outpatient Rehabilitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
National Provider Identifier
1730219692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT00008982 Issued in WA
Legal business name
WASHINGTON OUTPATIENT REHABILITATION, LLC
Practice address
507 S Washington St
Spokane, WA 99204-2608
Phone
(509) 242-6002
Fax
(509) 624-5061
NPI assigned
Mar 7, 2007
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
Scott Alford
Title
Coo
Phone
(509) 242-6002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X PT00008982 WA Primary

Addresses

Primary practice location

507 S Washington St
Spokane, WA 99204-2608

Mailing address

507 S Washington St
Spokane, WA 99204-2608
Phone (509) 242-6002

Other identifiers 1

IdentifierTypeStateIssuer
7115090MedicaidWA

National Provider Directory

National Provider Directory

Locations

765 E Holland Ave
Spokane, WA 99218
Phone (509) 242-6002

507 S Washington St
Spokane, WA 99204
Phone (509) 242-6002

Practitioners & affiliated clinicians

Practitioners 5

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730219692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042608",
            "telephone_number": "509-242-6002",
            "fax_number": "509-624-5061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042608",
            "telephone_number": "509-242-6002",
            "fax_number": "509-624-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON OUTPATIENT REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-242-6002"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT00008982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115090",
            "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 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.