Active NPI
Josquin J Poirot, DPT
- Physical Medicine & Rehabilitation Physician
- Walla Walla, WA
National Provider Identifier
1922766625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT60602242
- 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, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
dba Northwest Sports Physical Therapy, Inc.
- Physical Therapist
- Tacoma, WA
- NPI 1225582844
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
- Planned Parenthood of Greater Washington & North Idaho
- Planned Parenthood of Greater Washington & North Idaho (PPGWNI Walla Walla Health Center)
- Planned Parenthood of Greater Washington and Northern Idaho (Ppgwni)
- Jayla Gail Plummer, PHARMD
- Dennis Rocke Poffenroth, OD
- Rose Amara Pokrifchak, MA, LMHC
- Janette Polley, RN
- Justin Terry Porter
- Alecksana Potter
- Erin Pratt
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.