NPIMap

Organization Active NPI

U District Physical Therapy and Institute of Sports Performance

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1992845630
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008697 Issued in WA
Legal business name
U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE
Practice address
730 N Hamilton St
Spokane, WA 99202-2045
Phone
(509) 458-7686
Fax
(509) 458-6611
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Jeff Hart, MPT
Title
Owner
Phone
(509) 458-7686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT00008697 WA Primary

Addresses

Primary practice location

730 N Hamilton St
Spokane, WA 99202-2045

Mailing address

730 N Hamilton St
Spokane, WA 99202-2045
Phone (509) 458-7686

Other identifiers 2

IdentifierTypeStateIssuer
0186202OtherWALABOR AND INDUSTRIES
7123532MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000904 WA Part B Supplier - Clinic/Group Practice 1153312343 Receives reassigned benefits from 22 practitioners
Practice locations: Spokane, WA; Spokane Valley, WA

National Provider Directory

National Provider Directory

Locations

546 N Jefferson Ln
Spokane, WA 99201
Phone (509) 290-6406

546 N Jefferson Ln
Ste 301
Spokane, WA 99201
Phone (509) 474-1220

111 S Post St
Spokane, WA 99201
Phone (509) 474-1220

1002 W Riverside Ave
Spokane, WA 99201
Phone (509) 458-7686

504 N Barker Rd
Spokane Valley, WA 99016
Phone (509) 927-1222

504 N Barker Rd
#A
Spokane Valley, WA 99016
Phone (509) 927-1222

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1992845630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N HAMILTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022045",
            "telephone_number": "509-458-7686",
            "fax_number": "509-458-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N HAMILTON ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022045",
            "telephone_number": "509-458-7686",
            "fax_number": "509-458-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U DISTRICT PHYSICAL THERAPY AND INSTITUTE OF SPORTS PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-458-7686",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0186202",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7123532",
            "state": "WA"
        }
    ],
    "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 10, 2008; 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.