Shalom's Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SHALOM'S PHYSICAL THERAPY LLC

Practice address

114 Vista Way
Kennewick, WA 99336-3119

Phone

(509) 528-6918

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Dani'El Shalom Powell, DPTNPI 1629365416

Title

President

Phone

(509) 528-6918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dani'El Shalom Powell, DPT

  • Physical Therapist
  • Kennewick, WA
  • NPI 1629365416
  NPD Authorized official

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1952182586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 S JEFFERSON PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382182",
            "telephone_number": "509-528-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VISTA WAY",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363119",
            "telephone_number": "509-528-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALOM'S PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DANI'EL",
        "authorized_official_middle_name": "SHALOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-528-6918",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Severson
• Elizabeth Anne Seymour, RN
• Fushen Sha, MD
• Angelina Shaber
• Nikole Koral Shaham, DO
• Michael E Shannon, DMD
• Erin Leigh Sharma, M. ED, LMHC, MHP
• Lovelyne Sharma, MD
• Kade Sharp, LICSW
• Nichole Marie Sharp, ARNP

• Physical Therapy Clinic/Center in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.