LAKE CITY PHYSICAL THERAPY,PA (NPI# 1588810659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588810659 |
| Entity Type | Organization |
| Organization Name | LAKE CITY PHYSICAL THERAPY,PA |
| Practice Address |
12615 E Mission Ave Suite 109 Spokane Valley WA 99216-1047 |
| Mailing Address |
2170 W Ironwood Center Dr Coeur D Alene ID 83814-2606 |
| Practice Telephone | 5098912623 |
| Practice Fax Number | 5098912624 |
| Mailing Telephone | 2086671988 |
| Mailing Fax Number | 2087655654 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2018-09-14 |
| Authorized Official Name | SHEREE LYNN DIBIASE (OWNER) |
| Authorized Official Telephone | 2086671988 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00006159 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12615 E MISSION AVE SUITE 109 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710988746 | Robert J Golden | General Practice | 12615 E Mission Ave, Ste 303, Spokane Valley, WA 99216-1047 | 2005-08-01 |
| 1952882078 | Marilyn Louise Smith | Health Educator | 12615 E Mission Ave, Spokane Valley, WA 99216 | 2018-08-27 |
| 1003352410 | Kai Morimoto Md Pllc | Plastic Surgery | 12615 E Mission Ave, Suite 105, Spokane Valley, WA 99216-3060 | 2017-01-09 |
| 1962950493 | Acuhealth Solutions LLC | Acupuncturist | 12615 E Mission Ave, Suite 101, Spokane Valley, WA 99216-3060 | 2016-09-13 |
| 1932332541 | Molly Jean Blaylock | Massage Therapist | 12615 E Mission Ave, Suite 400, Spokane Valley, WA 99216-3060 | 2009-08-29 |
| 1255531018 | J Blake, Dmd, Ps | Dentist | 12615 E Mission Ave, Suite 312, Spokane Valley, WA 99216-1047 | 2007-07-20 |
| 1417086976 | Alyssa Marie Jordan | Massage Therapist | 12615 E Mission Ave, Suite 400, Spokane Valley, WA 99216-1047 | 2007-03-02 |
| 1124168323 | Kevin Joseph Lucas | Massage Therapist | 12615 E Mission Ave, Suite 400, Spokane Valley, WA 99216-1047 | 2007-02-07 |
| 1790831782 | Pramod Sinha Dds Ms | Dentist | 12615 E Mission Ave, Suite 110, Spokane Valley, WA 99216-1047 | 2007-01-25 |
| 1104983709 | Dale R Ruemping | Dentist | 12615 E Mission Ave, Suite 312, Spokane Valley, WA 99216-1047 | 2007-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033766522 | Amber N Anyan | Physical Therapist | 1215 N Mcdonald Rd Ste L2, Spokane Valley, WA 99216-1557 | 2019-08-20 |
| 1366097222 | Marissa Dejong | Physical Therapist | 8815 E Mission Ave Ste A, Spokane Valley, WA 99212-5039 | 2019-08-07 |
| 1861956237 | Timothy J Conley | Physical Therapist | 16528 E Desmet Ct Ste 1600, Spokane Valley, WA 99216-3522 | 2019-01-29 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1861890782 | Natalie Kristine Weir | Physical Therapist | 12615 E. Mission Ave, Ste 109, Spokane Valley, WA 99216 | 2014-12-09 |
| 1710286752 | Leigh Ann Whisenant | Physical Therapist | 4505 S Farr Rd, Spokane Valley, WA 99206-9228 | 2011-03-16 |
| 1689841827 | Phillip Salvador | Physical Therapist | 626 N Mullan Rd Ste 4, Spokane Valley, WA 99206-3857 | 2008-05-15 |
| 1003948274 | Jana Leigh Kimball | Physical Therapist | 3303 N Pines Rd, Spokane Valley, WA 99206-4612 | 2007-03-12 |
| 1700916582 | Cara Luree Wendel Wurst | Physical Therapist | 1414 N Houk Rd Ste 101, Spokane Valley, WA 99216-1097 | 2007-03-07 |
| 1558405746 | Kristopher T Holden | Physical Therapist | 213 S University Rd Ste 3, Spokane Valley, WA 99206-5364 | 2007-02-19 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
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| 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.