KALEIDOSCOPE PEDIATRIC THERAPY, PLLC


Address: 7409 Ne Hazel Dell Ave, Vancouver, WA 98665-8310
Phone: 2082879420

KALEIDOSCOPE PEDIATRIC THERAPY, PLLC (NPI# 1336506823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336506823
Entity Type Organization
Organization Name KALEIDOSCOPE PEDIATRIC THERAPY, PLLC
Practice Address 7409 Ne Hazel Dell Ave
Vancouver
WA 98665-8310
Practice Telephone 2082879420
Mailing Telephone 2082879420
Enumeration Date 2016-01-28
Last Update Date 2016-01-28
Authorized Official Name LONNA MAHANA (PROVIDER RELATIONS)
Authorized Official Telephone 2082879420
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225XP0200X Occupational Therapist
Specialization: Pediatrics
OT-00003758 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251P0200X Physical Therapist
Specialization: Pediatrics
PT-60135582 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA UBI NUMBER 603502448 01

Office Location

Street Address 7409 NE HAZEL DELL AVE
City VANCOUVER
State WA
Zip Code 98665-8310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811225733 Heather N Zortman Speech-Language Pathologist 7409 Ne Hazel Dell Ave, Ste 112, Vancouver, WA 98665-8310 2009-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023584877 Always Smiles Dentistry Dentist 910 Ne Minnehaha St #12, Vancouver, WA 98665 2018-10-19
1255811196 Rachael Hickert Counselor 1179 Northeast 95th Street, Vancouver, WA 98665 2018-08-20
1063899011 Edward Michael Borromeo Massage Therapist 8500 Ne Hazel Dell Ave Apt. B4, Vancouver, WA 98665 2015-04-29
1033460811 Gretchen Ann Bell Speech-Language Pathologist 511 Ne Anderson Road, Vancouver, WA 98665 2012-09-20
1831322379 Diana Miriam Copeland Massage Therapist 517 Ne 85th Cir, Vancouver, WA 98665 2009-09-01
1073782116 Roxanne Marie Brown Contractor 7902 Ne St. Johns Rd. Ste 105a, Vancouver, WA 98665 2008-02-22
1588726657 Emil V. Knysh Contractor 1307-b Ne 78th. Street, Suite #3, Vancouver, WA 98665 2006-12-15
1275611501 Jerry L Reams Contractor 1307b Ne 78th St., Suite 3, Vancouver, WA 98665 2006-11-02
1053409961 Richard C. Sheron Dmd Ps Dentist 1200 Ne 99th Street, Vancouver, WA 98665 2006-10-10
1316048887 Frank Roberts Mossman Optometrist 7600 Hazeldell Ave, Vancouver, WA 98665 2006-09-26
Find all providers in zip 98665

Taxonomy Information

Taxonomy Code 2251P0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417473604 Elizabeth M Keeler Physical Therapist 2500 Ne 65th Ave, Vancouver, WA 98661-6812 2017-08-18
1770037970 Natasha Bui Physical Therapist 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 2016-08-05
1386079598 Lindsay Beth Froman Physical Therapist 2121 Ne 139th St Ste 200, Vancouver, WA 98686-2316 2013-09-06
1851639421 Linda Anita Ball Physical Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-16
1235477803 Mary Brophy Physical Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-16
1760720338 Mary Jane Paterno Physical Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-16
1396083960 Debra J. Hanan Physical Therapist 13501 Ne 28th St, Vancouver, WA 98682-8091 2013-01-16
1124378922 Stephanie Gwen Marie Rogers Physical Therapist 2901 Falk Rd, Vancouver, WA 98661-6392 2012-09-19
1275882672 Kelsey White Imondi Physical Therapist 9414 Ne Fourth Plain Rd, Vancouver, WA 98662-6109 2012-08-31
1902102338 Julie L Akin Physical Therapist 2121 Ne 139th St, Suite 200, Vancouver, WA 98686-2316 2011-02-02
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98665

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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