NPIMap

Organization Active NPI

Cascade Adaptive Sports

  • Voluntary or Charitable Agency
  • Peshastin, WA
National Provider Identifier
1801191572
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
603046721 Issued in WA
Legal business name
CASCADE ADAPTIVE SPORTS
Practice address
3215 Allen LN
Peshastin, WA 98847-9426
Phone
(509) 668-0211
NPI assigned
Jan 11, 2011
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Mr. Gerald Olivas, OTR/LNPI 1821275298
Title
Director
Phone
(509) 668-0211

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
Voluntary or Charitable Agency 251V00000X 603046721 WA Primary

Addresses

Primary practice location

3215 Allen LN
Peshastin, WA 98847-9426

Mailing address

PO Box 752
Cashmere, WA 98815-0752
Phone (509) 668-0211

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1801191572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "CASHMERE",
            "state": "WA",
            "postal_code": "988150752",
            "telephone_number": "509-668-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 ALLEN LN",
            "city": "PESHASTIN",
            "state": "WA",
            "postal_code": "988479426",
            "telephone_number": "509-668-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ADAPTIVE SPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "OLIVAS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-668-0211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WA",
            "license": "603046721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peshastin, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.