Michael Robert Severino, B.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP001164T Issued in AZ

Practice address

2310 W Rockwell Ave
Spokane, WA 99205-1470

Phone

(509) 720-1893

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

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.

• Apex Physical Therapy PLLC

  • Physical Therapist
  • Spokane, WA
  • NPI 1538128442
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1831158559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W ROCKWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W ROCKWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051470",
            "telephone_number": "509-720-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "B.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "CP001164T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009969",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8442717",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0204468",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Sety
• John B Severinghaus, PH.D.
• Rebecca Katherine Severinghaus
• Dominic James Severino, DPT
• Lanaia Ann Severino, P.T.
• Shannon Severino
• Jamie Lynn Severson
• Meryl A Severson III, M.D.
• Sarah Severson, LICSWA
• Kolleen J Seward, CDP, MSW

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.