NPIMap

Organization Active NPI

Stargait Physical Therapy

  • Physical Therapy Clinic/Center
  • Vancouver, WA
National Provider Identifier
1992192231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT60013093 Issued in WA
Legal business name
STARGAIT PHYSICAL THERAPY
Practice address
6305 NE 47TH St
Vancouver, WA 98661
Phone
(360) 356-6811
Fax
(855) 840-8203
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Denise A Wentzel, PTNPI 1063798726
Title
Owner / Ceo
Phone
(360) 356-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT60013093 WA Primary

Addresses

Primary practice location

6305 NE 47TH St
Vancouver, WA 98661

Mailing address

16420 SE McGillivray Blvd Ste 103-355
Vancouver, WA 98683-3461
Phone (541) 292-4244

Other practice location 1

1202 NE 166th Ave
Vancouver, WA 98684-9491
Phone (541) 292-4244

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992192231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16420 SE MCGILLIVRAY BLVD STE 103-355",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833461",
            "telephone_number": "541-292-4244",
            "fax_number": "855-840-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 NE 47TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98661",
            "telephone_number": "360-356-6811",
            "fax_number": "855-840-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 NE 166th Ave",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986849491",
            "country_code": "US",
            "telephone_number": "541-292-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STARGAIT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-25",
        "status": "A",
        "authorized_official_last_name": "WENTZEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "360-356-6811",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT60013093",
            "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 Jul 21, 2022; 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.