Active NPI
Pediatric Therapy Center
- Multi-Specialty Clinic/Center
- Wenatchee, WA
National Provider Identifier
1801933858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7017999 | Medicaid | WA |
National Provider Directory
National Provider DirectoryLocations
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.