Individual provider Active NPI

Jared Friedly, D.P.T.

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1891147625
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60646327 Issued in WA
Practice address
6415 N Monroe St
Spokane, WA 99208-4121
Phone
(509) 327-4867
Fax
(509) 327-0542
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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 PT60646327 WA Primary

Addresses

Primary practice location

6415 N Monroe St
Spokane, WA 99208-4121

Mailing address

6415 N Monroe St
Spokane, WA 99208-4121
Phone (509) 327-4867

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115000640 WA Practitioner - Physical Therapist in Private Practice 6608155676 Reassigns benefits to 1 organization
Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10103 N Division St
Suite 107
Spokane, WA 99218-1383
Phone (509) 241-9701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT60646327WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B&B Physical Therapy Inc Physical Therapist CurrentSince Sep 20, 2016 Accepting new patients
Lumen Speech and Cognitive Therapy PLLC PastSince Jun 1, 2024 Accepting new patients
Headstrong NW PLLC Physical Therapist PastSince Sep 5, 2023 Accepting new patients

Locations

6415 N Monroe St
Spokane, WA 99208
Phone (509) 327-4867

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": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1891147625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLY",
        "first_name": "JARED",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60646327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.