Individual provider Active NPI

Josquin J Poirot, DPT

  • Physical Medicine & Rehabilitation Physician
  • Walla Walla, WA
National Provider Identifier
1922766625
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT60602242 Issued in WA
Practice address
1127 S 2ND Ave Ste B
Walla Walla, WA 99362-4118
Phone
(509) 204-2400
Fax
(509) 545-1112
NPI assigned
Nov 30, 2021
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT60602242 WA Primary

Addresses

Primary practice location

1127 S 2ND Ave Ste B
Walla Walla, WA 99362-4118

Mailing address

6825 Burden Blvd Ste D
Pasco, WA 99301-5633
Phone (509) 416-0406

Other practice location 1

6825 Burden Blvd Ste D
Pasco, WA 99301-5633
Phone (509) 545-1010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL oasisphysicaltherapy.com Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center for Sports Medicine & Physical Therapy, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1922766625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 BURDEN BLVD STE D",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015633",
            "telephone_number": "509-416-0406",
            "fax_number": "509-545-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S 2ND AVE STE B",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624118",
            "telephone_number": "509-204-2400",
            "fax_number": "509-545-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6825 Burden Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015633",
            "country_code": "US",
            "telephone_number": "509-545-1010",
            "fax_number": "509-545-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POIROT",
        "first_name": "JOSQUIN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "PT60602242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "oasisphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "company URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6825 Burden Blvd Ste D",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993015633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.