Four Seasons Physical Therapy
LBN: Jerry M Johnson Etal Ptr Four Seasons Physical Therapy
Four Seasons Physical Therapy is an health care organization with primary practice located at 1111 W Wellesley Ave , Spokane WA 99205-1274. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Jerry M Johnson Etal Ptr Four Seasons Physical Therapy can be contacted via phone (509) 327-1578, or through Johnson, Jerry Michael via phone (509) 327-1578.
Contact Information
Primary practice address
1111 W Wellesley Ave
Spokane WA 99205-1274
Phone: (509) 327-1578
Fax: (509) 327-1596
Website:
Authorized official contact:
Name: Johnson, Jerry Michael Physical Therapist (PT)
Phone: (509) 327-1578
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X | 601871376 | Washington |
Profile Details
| NPI number | 1245214543 |
|---|---|
| LBN Legal business name | Jerry M Johnson Etal Ptr Four Seasons Physical Therapy |
| DBA Doing business as | Four Seasons Physical Therapy |
| Authorized official | Johnson, Jerry Michael Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Dec 31st, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245214543 | NPPES |
| Washington | MEDICAID | 7116312 |
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