Jennifer Lynn Squire, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009298A Issued in IN

Practice address

4320 196TH St SW Ste a
Lynnwood, WA 98036-6753

Phone

(425) 967-0051

Fax

(425) 967-0053

NPI assigned

May 18, 2008

Last updated

Aug 10, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational Health Centers of Washington, P.S.

  dba Concentra Medical Centers

  • Physical Therapy Clinic/Center
  • Lynnwood, WA
  • NPI 1871077834
  NPD (past)

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1841457934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 SPRING FLOWER CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462373597",
            "telephone_number": "317-442-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 196TH ST SW STE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366753",
            "telephone_number": "425-967-0051",
            "fax_number": "425-967-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-18",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009298A",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60151157",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1193648",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spokane Digestive Disease Center, P.S.
• Maya Sophia Sprague, MA, LMHC
• Mary V Springer, RN
• Springhealth Behavioral Health and Integrated Care Washington, LLC
• Squareone Services, SPC (Square One)
• Savita Srivastava
• Kabal Sriviboon
• Josephine Mojica St Hilaire
• Cheryl Ann St Sauver
• Catherine E. Stafford, BA, MSW, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.