Creekside Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CREEKSIDE PHYSICAL THERAPY, PLLC

Practice address

4205 Castlevale Rd
Yakima, WA 98908-5603

Phone

(509) 576-0100

Fax

(509) 576-0101

NPI assigned

Feb 7, 2006

Last updated

Jul 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Rice

Title

Billing Agent

Phone

(509) 952-3134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer Folsom

  • Physical Therapist
  • Yakima, WA
  • NPI 1598580896
  Medicare reassignment Care Compare group NPD
• Kyle Prescott, PT

  • Physical Therapist
  • Yakima, WA
  • NPI 1861808081
  Medicare reassignment Care Compare group NPD
• Michelle Gean Beardemphl, M.S., P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1992775498
  Medicare reassignment Care Compare group
• Kenneth Birch Ditto, B.S., M.S., P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1285604785
  Medicare reassignment Care Compare group
• Alex Moon, P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1578791877
  Medicare reassignment Care Compare group
• Roger L Ridd, M.P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1437258167
  Medicare reassignment Care Compare group
• Haley Noble, DPT, OCS

  • Physical Therapist
  • Yakima, WA
  • NPI 1548651383
  Medicare reassignment
• Valerie M Rubright, PT

  • Physical Therapist
  • Yakima, WA
  • NPI 1477662500
  Medicare reassignment
• Robert Justin Finch, M.S., P.T.

  • Physical Therapist
  • Yakima, WA
  • NPI 1568432060
  NPD
• Elizabeth A Brueggemann, MPT

  • Physical Therapist
  • Yakima, WA
  • NPI 1073655809
  NPD (past)
• Erin Joy Deerfoot, PT

  • Physical Therapist
  • Langley, WA
  • NPI 1770548901
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1922071455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 CASTLEVALE RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989085603",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3908 Creekside Loop",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989024877",
            "country_code": "US",
            "telephone_number": "509-576-0100",
            "fax_number": "509-576-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CREEKSIDE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "509-952-3134"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Crawford, CM 60890123
• Hollie I Crawford, CRNA
• Elizabeth Rose Creasy
• Joyce Cree
• Creekside Orthopedics, PLLC
• Nancy Crenshaw
• Crescent Convalescent Center
• Crescent Health Care, Inc.
• Crest Counseling Services, PS
• Julie D Crest, M.S., LMHC

• Physical Therapist in Yakima, WA
• Providers in Yakima, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.