Individual provider Active NPI

Nathan C Wilkinson

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1801294376
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60477303 Issued in WA
Practice address
213 S University Rd
Suite #3
Spokane Valley, WA 99206-5364
Phone
(509) 893-0600
Fax
(509) 926-5828
NPI assigned
Dec 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60477303 WA Primary

Addresses

Primary practice location

213 S University Rd
Suite #3
Spokane Valley, WA 99206-5364

Mailing address

21304 E Queen Ave
Otis Orchards, WA 99027-9238
Phone (509) 893-0600

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

State licenses

LicenseStateTypeSpecialty
PT60477303WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A and B Physical Therapy PLLC Physical Therapist PastSince May 17, 2021 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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1801294376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21304 E QUEEN AVE",
            "city": "OTIS ORCHARDS",
            "state": "WA",
            "postal_code": "990279238",
            "telephone_number": "509-893-0600",
            "fax_number": "509-926-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S UNIVERSITY RD",
            "address_2": "SUITE #3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065364",
            "telephone_number": "509-893-0600",
            "fax_number": "509-926-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "NATHAN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60477303",
            "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 Dec 15, 2014; 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.