Unknown Individual – Physical Therapist, NPI 1710936679
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1510, Kresky Avenue, Centralia, Lewis County, Washington, 98531, United States
CENTRALIA, WA 985318980
Phone: (360) 736-0699
Fax: (360) 736-0324
Type: Location
Centralia Post Office, South Poplar Street, Wamac, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, WA 985310700
Phone: (360) 736-0699
Fax: (360) 736-0324
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98531)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | WA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 338 | 34 |
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