Organization Active NPI

Burchett Enterprises LTD

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1902296858
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
602808055 Issued in WA
Legal business name
BURCHETT ENTERPRISES LTD
Practice address
12012 E Mission Ave
Spokane Valley, WA 99206-4887
Phone
(509) 413-1630
Fax
(509) 413-1673
NPI assigned
Jan 30, 2015
Last updated
Jan 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shauna Denise Burchett, OTR/L
Title
Owner
Phone
(509) 413-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 602808055 WA Primary
Occupational Therapist 225X00000X 602808055 WA

Addresses

Primary practice location

12012 E Mission Ave
Spokane Valley, WA 99206-4887

Mailing address

12012 E Mission Ave
Spokane Valley, WA 99206-4887
Phone (509) 413-1630

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1902296858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12012 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064887",
            "telephone_number": "509-413-1630",
            "fax_number": "509-413-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12012 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064887",
            "telephone_number": "509-413-1630",
            "fax_number": "509-413-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURCHETT ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "BURCHETT",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-413-1630",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "602808055",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "602808055",
            "primary": false
        }
    ],
    "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 Jan 30, 2015; 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.