Kelly J Prather, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00003785 Issued in WA

Practice address

321 Burdin Blvd
Grand Coulee Physical Therapy
Grand Coulee, WA 99133

Phone

(509) 633-3260

Fax

(509) 633-3212

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6

  • Rural Health Clinic/Center
  • Grand Coulee, WA
  • NPI 1457420218
  NPD (past)
• Richard M King

  • Physical Therapist
  • Grand Coulee, WA
  • NPI 1477726438
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972657328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 HIGHWAY 2 NE",
            "city": "COULEE CITY",
            "state": "WA",
            "postal_code": "99115",
            "telephone_number": "509-632-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BURDIN BLVD",
            "address_2": "GRAND COULEE PHYSICAL THERAPY",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "99133",
            "telephone_number": "509-633-3260",
            "fax_number": "509-633-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUST",
            "identifier": "185740",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy Allen Myers, M.D.
• Navigating Pathways
• Overall Optics LLC
• Jason Pepperd, D.C.
• Gail A. Peterson, ARNP, FNP-BC
• Rhonda Marie Ramm, ARNP
• Duane L Rana, OD
• Charles D Randolph, MD
• Lawrence Robert Rehn, DDS
• Richard M King

• Physical Therapist in Grand Coulee, WA
• Providers in Grand Coulee, WA by specialty
• Physical Therapist in Washington

• 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.