NPIMap

Organization Active NPI

Quail Run Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Saint John, WA
National Provider Identifier
1790955201
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3038 Issued in WA
Legal business name
QUAIL RUN PHYSICAL THERAPY LLC
Practice address
13854 State Route 23
Saint John, WA 99171-9756
Phone
(509) 648-3341
Fax
(509) 648-4237
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. James William Rogers, P.T.NPI 1588710743
Title
Managing Member
Phone
(509) 648-3341

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3038 WA Primary

Addresses

Primary practice location

13854 State Route 23
Saint John, WA 99171-9756

Mailing address

PO Box 66
Saint John, WA 99171-0066
Phone (509) 648-3341

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1790955201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "SAINT JOHN",
            "state": "WA",
            "postal_code": "991710066",
            "telephone_number": "509-648-3341",
            "fax_number": "509-648-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13854 STATE ROUTE 23",
            "city": "SAINT JOHN",
            "state": "WA",
            "postal_code": "991719756",
            "telephone_number": "509-648-3341",
            "fax_number": "509-648-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAIL RUN PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "509-648-3341",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "3038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.