Active NPI
Baylen L Kreiter, PT
- Physical Therapist
- Spokane Valley, WA
National Provider Identifier
1902902570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9033
- Practice address
- 1908 N Dale LN
Spokane Valley, WA 99212-2445 - Phone
- (509) 327-5857
- Fax
- (509) 327-6025
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT9033 | WA | Primary |
| Physical Therapist | 225100000X | PT-1797 | ID |
Addresses
Primary practice location
1908 N Dale LN
Spokane Valley, WA 99212-2445
Mailing address
1908 N Dale LN
Spokane Valley, WA 99212-2445
Phone (509) 327-5857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8373649 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-1797 | ID | MD | Physical Therapist |
| PT9033 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
| Chewelah Orthopedic & Sports Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
| Deer Park Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Therasport Northwest, Inc | Physical Therapist | Past | Accepting new patients |
| Whitworth Physical Therapy, PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Physical Therapist
- Chewelah, WA
- NPI 1235353368
-
- Physical Therapist
- Deer Park, WA
- NPI 1306903182
-
- Physical Therapist
- Spokane Valley, WA
- NPI 1265585335
-
- Physical Therapist
- Spokane, WA
- NPI 1245405224
-
- Physical Therapist
- Spokane, WA
- NPI 1972557189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191110400000",
"number": "1902902570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 N DALE LN",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122445",
"telephone_number": "509-327-5857",
"fax_number": "509-327-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 N DALE LN",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992122445",
"telephone_number": "509-327-5857",
"fax_number": "509-327-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREITER",
"first_name": "BAYLEN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2007-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT9033",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "PT-1797",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8373649",
"state": "WA"
}
],
"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 Sep 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.