Individual provider Active NPI

Carolyn Ann Wardian, DPT, BA

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1992968051
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60025945 Issued in WA
Practice address
2118 W Garland Ave
Spokane, WA 99205-2526
Phone
(509) 326-1651
Fax
(509) 326-1658
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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 PT60025945 WA Primary

Addresses

Primary practice location

2118 W Garland Ave
Spokane, WA 99205-2526

Mailing address

2118 W Garland Ave
Spokane, WA 99205-2526
Phone (509) 326-1651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
PT60025945WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Guilds' School & Neuromuscular Center Past Accepting new patients

Organizations & group practices 1

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1992968051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDIAN",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DPT, BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60025945",
            "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 8, 2008; 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.