Organization Active NPI

Pediatric Therapy Center

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
National Provider Identifier
1801933858
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEDIATRIC THERAPY CENTER
Practice address
1305 Kittitas St
Wenatchee, WA 98801-3600
Phone
(509) 663-6001
Fax
(509) 662-4562
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Blanca Elizabeth Zendejas
Title
Billing Coordinator
Phone
(509) 663-6001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X WA Primary

Addresses

Primary practice location

1305 Kittitas St
Wenatchee, WA 98801-3600

Mailing address

1305 Kittitas St
P O Box 1
Wenatchee, WA 98807
Phone (509) 663-6001

Other identifiers 1

IdentifierTypeStateIssuer
7017999MedicaidWA

National Provider Directory

National Provider Directory

Locations

1305 Kittitas St
Wenatchee, WA 98801
Phone (509) 663-5179

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801933858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KITTITAS ST",
            "address_2": "P O BOX 1",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "98807",
            "telephone_number": "509-663-6001",
            "fax_number": "509-662-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KITTITAS ST",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988013600",
            "telephone_number": "509-663-6001",
            "fax_number": "509-662-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZENDEJAS",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "509-663-6001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7017999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.