EARLY CHOICE PEDIATRIC THERAPY, PLLC (NPI# 1114098274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114098274 |
| Entity Type | Organization |
| Organization Name | EARLY CHOICE PEDIATRIC THERAPY, PLLC |
| Practice Address |
106 E 15th St Vancouver WA 98663-3401 |
| Mailing Address |
208 W 36th St Vancouver WA 98660-1936 |
| Practice Telephone | 3607505850 |
| Practice Fax Number | 3607507244 |
| Mailing Telephone | 3607505850 |
| Mailing Fax Number | 3607507244 |
| Enumeration Date | 2006-11-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. ROBIN LYSANE PELLETIER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3607505850 |
| Authorized Official Credential | PT, MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8335184 | 05 |
| Street Address |
106 E 15TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98663-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457411001 | Kelly L Engebo | Speech-Language Pathologist | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-12-12 |
| 1619035458 | Elizabeth Lehl | Occupational Therapist | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-12-05 |
| 1568533628 | Robin Lysane Pelletier | Physical Therapist | 106 E 15th St, Vancouver, WA 98663-3401 | 2006-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
| 1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
| 1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
| 1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
| 1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
| 1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
| 1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
| 1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
| Find all providers in zip 98663 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598716748 | Innovative Services Nw | Clinic/Center | 9414 Ne Fourth Plain Road, Vancouver, WA 98662 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417446535 | Responding To Autism Services Inc. | Clinic/Center | 4206 W 24th Ave Ste B101, Kennewick, WA 99338-2321 | 2018-05-03 |
| 1609228774 | Kidsmarts | Clinic/Center | 2518 E Calhoun St, Seattle, WA 98112-2616 | 2016-07-12 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1265776918 | Public Hospital Dist No 1 Skagit | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2012-11-19 |
| 1407113236 | Olympic Peninsula Autism Center | Clinic/Center | 3500 Nw Bucklin Hill Rd, Suite 101, Silverdale, WA 98383-8503 | 2012-04-18 |
| 1144377094 | Childrens Hospital | Clinic/Center | 1135 116th Ave Ne, Bellevue, WA 98004-4623 | 2007-01-04 |
Please comment or provide details below to improve the information on EARLY CHOICE PEDIATRIC THERAPY, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.