Individual provider Active NPI

Deborah Sue Ham, P.T.

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1932200284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00000982 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0189666OtherWADEPT OF LABOR & INDUSTRY
4531917OtherAETNA

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

LicenseStateTypeSpecialty
PT00000982WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 7, 2004 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.

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.

Verify at the official NPI Registry.