Provider Demographics
NPI:1356466221
Name:ABILITY PHYSICAL THERAPY PS.
Entity Type:Organization
Organization Name:ABILITY PHYSICAL THERAPY PS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAWNITTA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-325-1977
Mailing Address - Street 1:103 W INDIANA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4828
Mailing Address - Country:US
Mailing Address - Phone:509-328-8200
Mailing Address - Fax:509-328-8202
Practice Address - Street 1:103 W INDIANA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4828
Practice Address - Country:US
Practice Address - Phone:509-328-8200
Practice Address - Fax:509-328-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7117815Medicaid
WA7117815Medicaid