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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | UBI NUMBER | 603502448 | 01 |
Street Address |
7409 NE HAZEL DELL AVE |
City | VANCOUVER |
State | WA |
Zip Code | 98665-8310 |
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 |
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 Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
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 |
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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.