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JERRY M JOHNSON ETAL PTR FOUR SEASONS PHYSICAL THERAPY NPI 1245214543


NPI Information

NPI: 1245214543
Provider Name: JERRY M JOHNSON ETAL PTR FOUR SEASONS PHYSICAL THERAPY

Doing Business As: FOUR SEASONS PHYSICAL THERAPY

Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

Address:
1111 W WELLESLEY AVE
SPOKANE, WA
ZIP 99205
Phone: (509) 327-1578
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JERRY M JOHNSON ETAL PTR FOUR SEASONS PHYSICAL THERAPY is a physical therapy clinic center in Spokane, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. JERRY M JOHNSON ETAL PTR FOUR SEASONS PHYSICAL THERAPY NPI is 1245214543. The provider is registered as an organization entity type.
The provider Is Doing Business As Four Seasons Physical Therapy.

The provider's business location address is:

1111 W WELLESLEY AVE
SPOKANE, WA
ZIP 99205-274
Phone: (509) 327-1578
Fax: (509) 327-1596

The provider's authorized official is Jerry Michael Johnson .
The authorized official title is Administrative Director and has the following contact phone number (509) 327-1578.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 12/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2000XClinic/CenterPhysical Therapy601871376WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GAB15992MEDICARE ID-TYPE UNSPECIFIED
27116312MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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