Individual provider Active NPI

Julieanne Wight, PT,DPT

  • Physical Therapist
  • Deer Park, WA
National Provider Identifier
1821499203
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60461304 Issued in WA
Practice address
702 S Park St
Deer Park, WA 99006-7025
Phone
(509) 276-2005
Fax
(509) 276-5550
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 PT60461304 WA Primary

Addresses

Primary practice location

702 S Park St
Deer Park, WA 99006-7025

Mailing address

1111 W Wellesley Ave
Spokane, WA 99205-1274
Phone (509) 327-1578

Other practice location 1

1111 W Wellesley Ave
Spokane, WA 99205-1274
Phone (509) 448-9358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141030000097 WA Practitioner - Physical Therapist in Private Practice 4981825239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acceleration Physical TherapyGroup PAC ID 0749383107, 13 clinicians

Practice addresses (Care Compare)

702 S Park St
Deer Park, WA 99006-7025
Phone (509) 276-2005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acceleration Physical Therapy Physical Therapist CurrentSince Aug 18, 2014 Accepting new patients
Jerry M Johnson Etal PTR Four Seasons Physical Therapy CurrentSince Aug 18, 2014 Accepting new patients

Locations

1111 W Wellesley Ave
Spokane, WA 99205
Phone (509) 327-1578

14 W Graves Rd
Unit A
Spokane, WA 99218
Phone (509) 465-2139

7407 N Division St
Ste B
Spokane, WA 99208
Phone (509) 448-9358

Organizations & group practices 2

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1821499203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051274",
            "telephone_number": "509-327-1578",
            "fax_number": "509-448-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S PARK ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990067025",
            "telephone_number": "509-276-2005",
            "fax_number": "509-276-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Wellesley Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992051274",
            "country_code": "US",
            "telephone_number": "509-448-9358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHT",
        "first_name": "JULIEANNE",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60461304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.