Active NPI
West Coast Therapy, LLC
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Kent, WA
National Provider Identifier
1891884250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 504506
- Legal business name
- WEST COAST THERAPY, LLC
- Practice address
- 25022 104TH Ave SE Ste B
Kent, WA 98030-2822 - Phone
- (253) 856-0677
- Fax
- (253) 856-0674
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marge Grishkoff
- Title
- Managing Member
- Phone
- (239) 948-0041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 504506 | WA | Primary |
Addresses
Primary practice location
25022 104TH Ave SE Ste B
Kent, WA 98030-2822
Mailing address
23150 Fashion Dr
Suite T-240
Estero, FL 33928-8321
Phone (239) 948-0041
Other names 1
- ACORF NORTHWEST, LLC
National Provider Directory
National Provider DirectoryLocations
23150 Fashion Dr
Ste T240
Estero, FL 33928
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiopulmonary Physical Therapist
- Kent, WA
- NPI 1730381898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216080000000",
"number": "1891884250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23150 FASHION DR",
"address_2": "SUITE T-240",
"city": "ESTERO",
"state": "FL",
"postal_code": "339288321",
"telephone_number": "239-948-0041",
"fax_number": "239-948-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25022 104TH AVE SE STE B",
"city": "KENT",
"state": "WA",
"postal_code": "980302822",
"telephone_number": "253-856-0677",
"fax_number": "253-856-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST COAST THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2008-07-15",
"status": "A",
"authorized_official_last_name": "GRISHKOFF",
"authorized_official_first_name": "MARGE",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "239-948-0041",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "WA",
"license": "504506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ACORF NORTHWEST, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.