Unknown Individual – Physical Therapist, NPI 1376763979

Unknown Individual is a healthcare provider. based in College place, Washington. specializing in Physical Therapist. They hold a License No. PT00002691 (WA). The NPI Number for Unknown Individual is 1376763979

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376763979
Phone
(509) 525-6463
Address
833 SE SCENIC VIEW DR
Deactivation Date
9 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 833 SE SCENIC VIEW DR

    COLLEGE PLACE, WA 993241857

    Phone: (509) 525-6463

    Fax: (509) 526-6803

    Type: Mailing

  • ODD FELLOWS HOME

    534 BOYER AVE

    WALLA WALLA, WA 99362

    Phone: (509) 525-6463

    Fax: (509) 526-6803

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99324)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1376763979 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Physical Therapist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights College Place, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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