Individual provider Active NPI

Bo R Jones, PTA

  • Physical Therapy Assistant
  • Spokane Valley, WA
National Provider Identifier
1730376153
Registry record updated Sep 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
601 S Park Rd
Suite 1
Spokane Valley, WA 99212-0593
Phone
(509) 921-7818
Fax
(509) 891-0456
NPI assigned
Sep 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X WA Primary

Addresses

Primary practice location

601 S Park Rd
Suite 1
Spokane Valley, WA 99212-0593

Mailing address

601 S Park Rd
Suite 1
Spokane Valley, WA 99212-0593
Phone (509) 921-7818

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
225200000XWAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Therapy Resources, P.S. Physical Therapy Assistant Past Accepting new patients
NKS Rehab PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191110400000",
    "number": "1730376153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PARK RD",
            "address_2": "SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120593",
            "telephone_number": "509-921-7818",
            "fax_number": "509-891-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PARK RD",
            "address_2": "SUITE 1",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992120593",
            "telephone_number": "509-921-7818",
            "fax_number": "509-891-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BO",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; 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.