Organization Active NPI

West Coast Therapy, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Kent, WA
National Provider Identifier
1891884250
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
License
504506 Issued in WA
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

Updated by the provider on Jul 15, 2008

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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.