Individual provider Active NPI

Robert Jeffrey Parker, PT,OCS,MS,ATC,COMT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1760588339
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 7332 Issued in WA
Practice address
10624 N Kensington CT
Spokane, WA 99218-2445
Phone
(509) 465-0597
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 7332 WA Primary
Orthopedic Physical Therapist 2251X0800X PT 7332 WA
Sports Physical Therapist 2251S0007X PT 7332 WA

Addresses

Primary practice location

10624 N Kensington CT
Spokane, WA 99218-2445

Mailing address

10624 N Kensington CT
Spokane, WA 99218-2445
Phone (509) 465-0597

Other identifiers 1

IdentifierTypeStateIssuer
8378358MedicaidWA

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT 7332WAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitworth Physical Therapy, PS Physical Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1760588339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 N KENSINGTON CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182445",
            "telephone_number": "509-465-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 N KENSINGTON CT",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182445",
            "telephone_number": "509-465-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ROBERT",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PT,OCS,MS,ATC,COMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 7332",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT 7332",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "WA",
            "license": "PT 7332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8378358",
            "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 Dec 16, 2009; 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.