Organization Active NPI

A and B Physical Therapy PLLC

Doing business as South Hill Physical Therapy

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1750411690
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002796 Issued in WA
Legal business name
A AND B PHYSICAL THERAPY PLLC
Doing business as
South Hill Physical Therapy
Practice address
1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272
Phone
(509) 624-4200
Fax
(509) 624-2817
NPI assigned
Mar 7, 2007
Last updated
Apr 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Theresa L Noack
Title
Business Manager
Phone
(509) 624-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00002796 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272

Mailing address

1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272
Phone (509) 624-4200

Other practice location 1

3017 E Francis Ave Ste 102
Spokane, WA 99208-2435
Phone (509) 465-9000

Other practice location 2

213 S University Rd Ste 3
Spokane Valley, WA 99206-5364
Phone (509) 893-0600

Other practice location 3

12 E Rowan Ave Ste 3
Spokane, WA 99207-1281
Phone (509) 326-4100

Other practice location 4

9725 W Sunset Hwy
Spokane, WA 99224-9426
Phone (509) 624-4100

Other names 1

  • South Hill Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pmays@spokanept.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210506000337 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062821903 Receives reassigned benefits from 8 practitioners
Practice locations: Spokane, WA; Spokane Valley, WA

National Provider Directory

National Provider Directory
Tax ID family
A and B Physical Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2420 1st St
Cheney, WA 99004
Phone (509) 235-6100

12 E Rowan Ave
Ste 3
Spokane, WA 99207
Phone (509) 326-4100

1403 S Grand Blvd
Ste 102S
Spokane, WA 99203
Phone (509) 624-4200

3017 E Francis Ave
Ste 102
Spokane, WA 99208
Phone (509) 465-9000

9725 W Sunset Hwy
Spokane, WA 99224
Phone (509) 624-4100

213 S University Rd
Ste 3
Spokane Valley, WA 99206
Phone (509) 893-0600

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

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": "1619481600000",
    "number": "1750411690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 102S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 102S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3017 E Francis Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992082435",
            "country_code": "US",
            "telephone_number": "509-465-9000",
            "fax_number": "509-465-3826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "213 S University Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992065364",
            "country_code": "US",
            "telephone_number": "509-893-0600",
            "fax_number": "509-926-5828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 E Rowan Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071281",
            "country_code": "US",
            "telephone_number": "509-326-4100",
            "fax_number": "509-326-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9725 W Sunset Hwy",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992249426",
            "country_code": "US",
            "telephone_number": "509-624-4100",
            "fax_number": "509-624-2297",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A AND B PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "NOACK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "509-624-4200"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pmays@spokanept.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1403 S Grand Blvd Ste 102S",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992032272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "South Hill Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.