Provider Demographics
NPI:1134276306
Name:TURNING POINTE PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:TURNING POINTE PHYSICAL THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NOLA
Authorized Official - Middle Name:B
Authorized Official - Last Name:PETRUCELLY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:509-326-8878
Mailing Address - Street 1:315 W 9TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2501
Mailing Address - Country:US
Mailing Address - Phone:509-326-8878
Mailing Address - Fax:509-326-1157
Practice Address - Street 1:315 W 9TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2501
Practice Address - Country:US
Practice Address - Phone:509-326-8878
Practice Address - Fax:509-326-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008073225100000X
WAPT00007579225100000X
WAPT00002678225100000X
WAPT00008218225100000X
WAPT00008595225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0195144OtherL & I GROUP PIN
WA10146330OtherREGENCE BS OF ID GROUPPIN
WA7126675Medicaid
WA1350PEOtherMEDICALLAKE PT ASURIS PIN
WA7940306OtherAETNA PROVIDER PIN
WADD4457OtherRR MEDICARE GROUP PIN
WA5495PEOtherTURNING POINTE ASURIS PIN
WA10146330OtherREGENCE BS OF ID GROUPPIN