Individual provider Active NPI

Deborah Lynn Lehner Warner, PT

  • Physical Therapist
  • Vancouver, WA
National Provider Identifier
1891778288
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005998 Issued in WA
Practice address
900 NE 139TH St Ste 102
Vancouver, WA 98685-2513
Phone
(360) 573-3611
Fax
(360) 573-3880
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 PT00005998 WA Primary

Addresses

Primary practice location

900 NE 139TH St Ste 102
Vancouver, WA 98685-2513

Mailing address

1905 SE 192ND Ave Ste 109
Camas, WA 98607-7415
Phone (360) 210-5440

Other identifiers 1

IdentifierTypeStateIssuer
7115215MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000988 WA Practitioner - Physical Therapist in Private Practice 9537067681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Motion PLLCGroup PAC ID 6103071014, 30 clinicians

Practice addresses (Care Compare)

900 NE 139TH St
Suite 102
Vancouver, WA 98685-2519
Phone (360) 573-3611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Motion, PLLC Physical Therapist CurrentSince Feb 15, 2024 Accepting new patients

Locations

1905 SE 192nd Ave
Ste 109
Camas, WA 98607
Phone (360) 210-5440

900 NE 139th St
Ste 102
Vancouver, WA 98685
Phone (360) 573-3611

Organizations & group practices 1

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1891778288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SE 192ND AVE STE 109",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077415",
            "telephone_number": "360-210-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE 139TH ST STE 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852513",
            "telephone_number": "360-573-3611",
            "fax_number": "360-573-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHNER WARNER",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115215",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.