STARGAIT PHYSICAL THERAPY (NPI# 1992192231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992192231 |
| Entity Type | Organization |
| Organization Name | STARGAIT PHYSICAL THERAPY |
| Practice Address |
6305 Ne 47th St Vancouver WA 98661 |
| Mailing Address |
16420 Se Mcgillivray Blvd Ste 103-355 Vancouver WA 98683-3461 |
| Practice Telephone | 3603566811 |
| Practice Fax Number | 8558408203 |
| Mailing Telephone | 5412924244 |
| Mailing Fax Number | 8558408203 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | MRS. DENISE A WENTZEL (OWNER / CEO) |
| Authorized Official Telephone | 3603566811 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT60013093 | WA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1202 Ne 166th Ave, Vancouver, WA 986849491 | (541) 292-4244 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | STARGAIT PHYSICAL THERAPY, LLC | 6305 Ne 47th St, Vancouver, WA 98661-3015 |
| Street Address |
6305 NE 47TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053326561 | Proactive Orthopedic and Sports Physical Therapy of East Vancouver LLC | Clinic/Center | 6700 Ne 162nd Ave, Suite 411, Vancouver, WA 98682-3858 | 2006-07-31 |
| 1003319088 | Alpine Physical Therapy Pllc | Clinic/Center | 109 Se 101st Ave, Vancouver, WA 98664-3907 | 2018-03-15 |
| 1164963898 | Pinnacle Women's Therapeutics | Clinic/Center | 300 E 24th St, Vancouver, WA 98663-3214 | 2017-03-14 |
| 1659745230 | Boomerang Physical Therapy | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2015-11-19 |
| 1902179484 | Function At Home Dba The Body Mechanix | Clinic/Center | 18414 Ne Garden Dr, Vancouver, WA 98682-3612 | 2012-02-15 |
| 1154647329 | Proactive Physical Therapy -salmon Creek | Clinic/Center | 2621 Ne 134th St, Suite 310, Vancouver, WA 98686-3036 | 2010-04-13 |
| 1104080373 | Everybody Physical Therapy LLC | Clinic/Center | 1306 Main St, Vancouver, WA 98660-2919 | 2008-07-16 |
| 1770743023 | Pt Elite, Inc. | Clinic/Center | 222 Ne Park Plaza Dr, Suite 120, Vancouver, WA 98684-5895 | 2008-06-11 |
| 1710172291 | Joint Ventures Therapeutics PC | Clinic/Center | 16219 Se 12th St, Suite 100, Vancouver, WA 98683-8904 | 2007-09-07 |
| 1487854618 | Vancouver Ent & Ent of The Northwest Pllc | Clinic/Center | 14411 Ne 20th Ave, Ste 101, Vancouver, WA 98686-6431 | 2007-07-25 |
| Find all providers in VANCOUVER | ||||
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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.