Active NPI
Kiani Leann Pandoliano, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Vancouver, WA
National Provider Identifier
1962331629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 208100000X
- Practice address
- 601 SE 117TH Ave Ste 210
Vancouver, WA 98683-5297 - Phone
- (136) 044-9870
- NPI assigned
- May 18, 2026
- 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 Medicine & Rehabilitation Physician | 208100000X | 208100000X | WA | Primary |
Addresses
Primary practice location
601 SE 117TH Ave Ste 210
Vancouver, WA 98683-5297
Mailing address
601 SE 117TH Ave Ste 210
Vancouver, WA 98683-5297
Phone (136) 044-9870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Surgical Specialists PC
Practice addresses (Care Compare)
601 SE 117TH Ave
210 Rebound Physical Therapy
Vancouver, WA 98683-5297
Phone (360) 449-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 208100000X | WA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1962331629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 SE 117TH AVE STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835297",
"telephone_number": "136-044-9870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 SE 117TH AVE STE 210",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986835297",
"telephone_number": "136-044-9870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANDOLIANO",
"first_name": "KIANI",
"middle_name": "LEANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WA",
"license": "208100000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.