Individual provider Active NPI

Nicole Kiser

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1982352191
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61250493 Issued in WA
Practice address
15413 E Valleyway Ave Ste 200B
Spokane Valley, WA 99037-5029
Phone
(509) 928-3443
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 61250493 WA Primary

Addresses

Primary practice location

15413 E Valleyway Ave Ste 200B
Spokane Valley, WA 99037-5029

Mailing address

11518 E 38TH Ave
Spokane Valley, WA 99206
Phone (509) 954-0284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104001094 WA Practitioner - Physical Therapist in Private Practice 6507233541 Reassigns benefits to 1 organization
Practice locations: Spokane, WA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1760 E Trent Ave
Spokane, WA 99202-2943
Phone (509) 906-1612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61250493WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Physical Therapy and Sports Medicine Physical Therapist CurrentSince Jul 28, 2022 Accepting new patients
Kindred Physical Therapy PLLC CurrentSince Oct 5, 2025 Accepting new patients
Lake City Physical Therapy P a Physical Therapist CurrentSince May 15, 2023 Accepting new patients
Lighthouse Physical Therapy, LLC Physical Therapist PastSince Jul 28, 2022 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

2170 W Ironwood Center Dr
Ste B
Coeur D Alene, ID 83814
Phone (208) 667-1988

21651 E Country Vista Dr
Ste E
Liberty Lake, WA 99019

1760 E Trent Ave
Spokane, WA 99202
Phone (509) 906-1612

15413 E Valleyway Ave
Ste 200B
Spokane Valley, WA 99037
Phone (509) 928-3443

18915 E Appleway Ave
Ste A101
Spokane Valley, WA 99016
Phone (509) 723-9999

Organizations & group practices 5

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1982352191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 E 38TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "99206",
            "telephone_number": "509-954-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 E VALLEYWAY AVE STE 200B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375029",
            "telephone_number": "509-928-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61250493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.