NPIMap

Organization Active NPI

Acceleration Physical Therapy

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1982768909
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008675 Issued in WA
Legal business name
ACCELERATION PHYSICAL THERAPY
Practice address
1111 W Wellesley Ave
Spokane, WA 99205
Phone
(509) 448-9358
Fax
(509) 448-5973
NPI assigned
Dec 21, 2006
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
David Alan Jeter, MPTNPI 1598863730
Title
Owner
Phone
(509) 448-9358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008675 WA Primary

Addresses

Primary practice location

1111 W Wellesley Ave
Spokane, WA 99205

Mailing address

1111 W Wellesley Ave
Spokane, WA 99205-1274
Phone (509) 448-9358

Other practice location 1

2814 S Grand Blvd
Spokane, WA 99203-2528
Phone (509) 448-5973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070306000222 WA Part B Supplier - Clinic/Group Practice 0749383107 Receives reassigned benefits from 12 practitioners
Practice locations: Deer Park, WA; Spokane, WA

National Provider Directory

National Provider Directory

Locations

1111 W Wellesley Ave
Spokane, WA 99205
Phone (509) 327-1578

14 W Graves Rd
Unit A
Spokane, WA 99218
Phone (509) 465-2139

1520 W 3rd Ave
Ste 202
Spokane, WA 99201
Phone (503) 970-6475

1520 W 3rd Ave
Ste 210
Spokane, WA 99201
Phone (509) 309-3789

309 E Farwell Rd
Ste 104
Spokane, WA 99218
Phone (509) 465-2139

7407 N Division St
Ste B
Spokane, WA 99208
Phone (509) 448-9358

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1982768909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051274",
            "telephone_number": "509-448-9358",
            "fax_number": "509-448-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-448-9358",
            "fax_number": "509-448-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2814 S Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992032528",
            "country_code": "US",
            "telephone_number": "509-448-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCELERATION PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-448-9358",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008675",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.