NORTHWEST RETURN TO WORK MT VERNON (NPI# 1609279017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609279017 |
Entity Type | Organization |
Organization Name | NORTHWEST RETURN TO WORK MT VERNON |
Other Organization Name | VALLEY REHAB PT AND RTW CENTER |
Practice Address |
1600 Roosevelt Ave Suite B Mount Vernon WA 98273-2646 |
Practice Telephone | 3604245215 |
Practice Fax Number | 3604244074 |
Mailing Telephone | 3604245215 |
Mailing Fax Number | 3604244074 |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |
Authorized Official Name | MR. TROY STANG (OWNER) |
Authorized Official Telephone | 3604245215 |
Authorized Official Credential | MS,PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT00006201 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Valley Rehab PT AND RTW CENTER | Doing Business As Name - Organization |
Street Address |
1600 ROOSEVELT AVE SUITE B |
City | MOUNT VERNON |
State | WA |
Zip Code | 98273-2646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780758466 | Peter Joseph Fochesato | Chiropractor | 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 | 2006-11-17 |
1194185371 | Chelsea Mae Peterson | Occupational Therapist | 1600 Roosevelt Ave, Suite B, Mount Vernon, WA 98273-2646 | 2016-03-01 |
1558720797 | Anne Maxwell | Specialist | 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 | 2016-02-16 |
1477967172 | Matthew Friedlander | Massage Therapist | 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 | 2014-06-20 |
1932396652 | Mount Vernon Chiropractic, Inc., P.s. | Chiropractor | 1600 Roosevelt Ave, Suite A, Mount Vernon, WA 98273-2646 | 2007-09-26 |
1801096045 | Tim L Nelson | Massage Therapist | 1600 Roosevelt Ave, Ste A, Mount Vernon, WA 98273-2646 | 2007-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
Find all providers in zip 98273 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1891344180 | Aubrey Chase Smith | Physical Therapist | 2226 Market St Ste C, Mount Vernon, WA 98273-5451 | 2019-09-09 |
1710459953 | David Burke Bond | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2018-12-28 |
1639274228 | Theodore John Kepros | Physical Therapist | 108 1st St Se, Mount Vernon, IA 52314-1465 | 2006-09-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
1538698915 | Ashlie Emert | Physical Therapist | 2901 3rd Ave Ste 350, Seattle, WA 98121-1031 | 2017-06-08 |
Find all providers with the same taxonomy |
City | MOUNT VERNON |
Zip Code | 98273 |
Please comment or provide details below to improve the information on NORTHWEST RETURN TO WORK MT VERNON.
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.