Provider Demographics
NPI:1114012028
Name:ASSOCIATES IN PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:ASSOCIATES IN PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-884-1437
Mailing Address - Street 1:230 GRANT RD STE B27
Mailing Address - Street 2:
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-7715
Mailing Address - Country:US
Mailing Address - Phone:509-884-1437
Mailing Address - Fax:509-884-2811
Practice Address - Street 1:230 GRANT RD STE B27
Practice Address - Street 2:
Practice Address - City:EAST WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98802-7715
Practice Address - Country:US
Practice Address - Phone:509-884-1437
Practice Address - Fax:509-884-2811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00003821225100000X
WAPT00000919225100000X
WAPT00005726225100000X
WAPT00005895225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7085814Medicaid
WAS29577Medicare UPIN
WAGAB00888Medicare ID - Type UnspecifiedJACK STAGGE
WAR11386Medicare UPIN
WAR12281Medicare UPIN
WA8857725Medicare ID - Type UnspecifiedKEITH FRANZEN
WA7085814Medicaid
WAGAB00884Medicare ID - Type UnspecifiedDOUG HARRIS