Individual provider Active NPI

Natalie Kristine Weir, DPT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1861890782
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60507600 Issued in WA
Practice address
12615 E. Mission Ave
Ste 109
Spokane Valley, WA 99216
Phone
(509) 891-2623
Fax
(509) 891-2624
NPI assigned
Dec 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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 PT60507600 WA Primary

Addresses

Primary practice location

12615 E. Mission Ave
Ste 109
Spokane Valley, WA 99216

Mailing address

2170 Ironwood Center Dr.
Coeur D 'Alene, ID 83814
Phone (208) 667-1988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200506002615 ND Practitioner - Physical Therapist in Private Practice 0749507382 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
Jones Physical Therapy PCGroup PAC ID 9830298546, 8 clinicians

Practice addresses (Care Compare)

5120 Stockholm Loop
Bismarck, ND 58503-7505
Phone (701) 751-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2251NDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Physical Therapy, PC CurrentSince Mar 15, 2020 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist Past Accepting new patients
Summit Rehab Valley Corporation Physical Therapist PastSince May 15, 2017 Accepting new patients

Locations

5120 Stockholm Loop
Bismarck, ND 58503
Phone (701) 751-1055

1655 N Grandview Ln
Ste 204
Bismarck, ND 58503
Phone (701) 751-2002

Organizations & group practices 3

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": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1861890782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 IRONWOOD CENTER DR.",
            "city": "COEUR D 'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-667-1988",
            "fax_number": "208-765-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12615 E. MISSION AVE",
            "address_2": "STE 109",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99216",
            "telephone_number": "509-891-2623",
            "fax_number": "509-891-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "NATALIE",
        "middle_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60507600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.