| Centennial Sports & Physical Therapy Llc | |
|
13102 E Mission Ave, Spokane Valley, WA 99216-1142 | |
| (509) 928-6220 | |
| (509) 928-7597 |
| Full Name | Centennial Sports & Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 13102 E Mission Ave, Spokane Valley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659427003 | NPI | - | NPPES |
| 196030 | Other | WA | LABOR AND INDUSTRIES |
| 7136989 | Medicaid | WA | |
| DF5882 | Other | WA | RR MEDICARE GROUP |
| 5230FR | Other | WA | ASURIS |
| P00377246 | Other | WA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00009613 (Washington) | Primary |
| Provider Name | Sean M Freeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306910914 PECOS PAC ID: 9739110461 Enrollment ID: I20050823000489 |
| Mailing Address | Practice Location Address |
|---|---|
| Centennial Sports & Physical Therapy Llc 13102 E Mission Ave, Spokane Valley, WA 99216-1142 Ph: (509) 928-6220 | Centennial Sports & Physical Therapy Llc 13102 E Mission Ave, Spokane Valley, WA 99216-1142 Ph: (509) 928-6220 |
Miss Sarah Anne Nall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1510 N Argonne Rd Ste F, Spokane Valley, WA 99212 Phone: 509-279-2867 Fax: 509-279-2419 | |
Star Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12410 E Sinto Ave, #203, Spokane Valley, WA 99216 Phone: 509-927-7827 | |
Ms. Jana Leigh Kimball, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3303 N Pines Rd, Spokane Valley, WA 99206 Phone: 704-516-3654 | |
Wendy Shaw, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9212 E Montgomery Ave, #103, Spokane Valley, WA 99206 Phone: 509-922-0855 Fax: 509-921-0050 | |
Lakeside Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 N Vercler Rd, Suite 1, Spokane Valley, WA 99216 Phone: 509-891-0658 | |
Paul D Rosenbaum, BS DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 213 S University Rd, Suite #3, Spokane Valley, WA 99206 Phone: 509-893-0600 Fax: 509-926-5828 | |
Chandis Mikkelsen, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12509 E Mission Ave, Ste. 202, Spokane Valley, WA 99216 Phone: 509-444-5678 Fax: 509-343-5678 |