Active NPI
Deborah Sue Ham, P.T.
- Physical Therapist
- Spokane, WA
National Provider Identifier
1932200284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000982
- Practice address
- 3151 E 29TH Ave
Spokane, WA 99223-4800 - Phone
- (509) 532-0500
- Fax
- (509) 532-8810
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- 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 Therapist | 225100000X | PT00000982 | WA | Primary |
Addresses
Primary practice location
3151 E 29TH Ave
Spokane, WA 99223-4800
Mailing address
4415 S Helena St
Spokane, WA 99223-4312
Phone (509) 448-6399
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189666 | Other | WA | DEPT OF LABOR & INDUSTRY |
| 4531917 | Other | AETNA |
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 |
|---|---|---|---|
| PT00000982 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Foot Clinic, P S | Past | Accepting new patients | |
| Select Physical Therapy Orthopedic Services, Inc. | Past | Accepting new patients | |
| Larry Ham and Associates Physical Therapy PS | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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
- Spokane, WA
- NPI 1811098239
-
- Podiatric Clinic/Center
- Spokane, WA
- NPI 1215012331
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1881180636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932200284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4415 S HELENA ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234312",
"telephone_number": "509-448-6399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 E 29TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992234800",
"telephone_number": "509-532-0500",
"fax_number": "509-532-8810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAM",
"first_name": "DEBORAH",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR & INDUSTRY",
"identifier": "0189666",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4531917",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.