| Summit Rehabilitation Associates, Pllc | |
|
407 E 2nd Ave, Suite 100, Spokane, WA 99202-1428 | |
| (509) 455-6002 | |
| (509) 747-5990 |
| Full Name | Summit Rehabilitation Associates, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 407 E 2nd Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467571513 | NPI | - | NPPES |
| 115084 | Other | WA | LABOR & INDUSTRIES |
| 7087216 | Medicaid | WA | |
| 7682131 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Barbara L Moe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174681480 PECOS PAC ID: 2466467410 Enrollment ID: I20060213000122 |
| Provider Name | Diana L Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275549891 PECOS PAC ID: 8921003492 Enrollment ID: I20060918000050 |
| Provider Name | Jennifer Pence |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558567941 PECOS PAC ID: 5890888291 Enrollment ID: I20070830000313 |
| Provider Name | James Z Strandy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598957664 PECOS PAC ID: 4789770405 Enrollment ID: I20071011000054 |
| Provider Name | Cody T Kenison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215131529 PECOS PAC ID: 2163513805 Enrollment ID: I20090924000349 |
| Provider Name | Robert F Hoctor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487741799 PECOS PAC ID: 0941467237 Enrollment ID: I20120127000678 |
| Provider Name | Mark P Mcleod |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992139612 PECOS PAC ID: 2567690548 Enrollment ID: I20140121001054 |
| Provider Name | Derek J Lusk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063832848 PECOS PAC ID: 1153547070 Enrollment ID: I20140729001316 |
| Provider Name | Bryan Robert Garner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205276540 PECOS PAC ID: 7810139375 Enrollment ID: I20150204000659 |
| Provider Name | David R Enger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801345525 PECOS PAC ID: 0345538302 Enrollment ID: I20161007000709 |
| Provider Name | Daniel Patrick Mckillop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346799772 PECOS PAC ID: 6800175811 Enrollment ID: I20161115002387 |
| Provider Name | Angela Karmen Enger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962949024 PECOS PAC ID: 6204111669 Enrollment ID: I20170327001637 |
| Provider Name | Brandon Lee Belloir |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538687892 PECOS PAC ID: 2163797564 Enrollment ID: I20171011002574 |
| Provider Name | Mitchell Lee Riddle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649786047 PECOS PAC ID: 4082974019 Enrollment ID: I20180212001412 |
| Provider Name | Kevin Steven Dejong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689167744 PECOS PAC ID: 8921343567 Enrollment ID: I20181228002479 |
| Provider Name | Marissa Dejong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366097222 PECOS PAC ID: 0547599144 Enrollment ID: I20190906002249 |
| Provider Name | Caitlin Marie Yahne |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720613078 PECOS PAC ID: 9133550122 Enrollment ID: I20200506002933 |
| Provider Name | Janelle Hanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902415029 PECOS PAC ID: 2365869096 Enrollment ID: I20200826003094 |
| Provider Name | Zachary C Collins |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154902997 PECOS PAC ID: 5193133395 Enrollment ID: I20210427002146 |
| Provider Name | Stephen Landeene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619647872 PECOS PAC ID: 7012314826 Enrollment ID: I20210921003308 |
| Provider Name | Steven Michael Cordovana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366193880 PECOS PAC ID: 8426442187 Enrollment ID: I20220223002580 |
| Provider Name | Hailey Michelle Delriccio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053890830 PECOS PAC ID: 3375930829 Enrollment ID: I20220502000325 |
| Provider Name | Uriah Michael Machuga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558012781 PECOS PAC ID: 8426436627 Enrollment ID: I20220531001463 |
| Provider Name | Payton Scott Walling |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558848804 PECOS PAC ID: 8820479553 Enrollment ID: I20220713000470 |
| Provider Name | John-robert Woolley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902530744 PECOS PAC ID: 7517341076 Enrollment ID: I20220831004039 |
| Provider Name | Andrea Caine |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124637947 PECOS PAC ID: 3274919014 Enrollment ID: I20221003001945 |
| Provider Name | Hannah Melick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366158735 PECOS PAC ID: 3274905526 Enrollment ID: I20230214001828 |
| Provider Name | Nathaniel Adam Nickerson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083247340 PECOS PAC ID: 6204294606 Enrollment ID: I20230616000859 |
| Provider Name | Aaron Michael Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568146157 PECOS PAC ID: 9537520242 Enrollment ID: I20230727002750 |
| Provider Name | Kendal Marchese |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912758749 PECOS PAC ID: 2466891635 Enrollment ID: I20240419003509 |
| Provider Name | Zachary Eagle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841939220 PECOS PAC ID: 4284016569 Enrollment ID: I20240508004164 |
| Provider Name | Brittani Magni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790534006 PECOS PAC ID: 1052853207 Enrollment ID: I20240604001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Rehabilitation Associates, Pllc 407 E 2nd Ave Ste 100, Spokane, WA 99202-1428 Ph: (509) 455-6002 | Summit Rehabilitation Associates, Pllc 407 E 2nd Ave, Suite 100, Spokane, WA 99202-1428 Ph: (509) 455-6002 |
Brian Kinder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 S Cowley St, Spokane, WA 99202 Phone: 509-473-9920 | |
Meghan K Fitzgerald, BS MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1403 S Grand Blvd, Suite #102-s, Spokane, WA 99203 Phone: 509-624-4200 Fax: 509-624-2817 | |
Shirley Joanne Carlson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2118 W Garland Ave, Spokane, WA 99205 Phone: 509-326-1651 Fax: 509-326-1658 | |
Michael Dean Swanson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 785 E Holland Ave, Spokane, WA 99218 Phone: 509-466-6393 Fax: 509-466-5163 | |
Christy J Frazier, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 E Westview Ct, Suite A, Spokane, WA 99218 Phone: 509-465-1749 Fax: 509-465-1748 | |
Lianna Jeanne Philbin, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1812 N Wall St, Spokane, WA 99205 Phone: 509-328-6030 | |
Dr. Alec Webbenhurst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1224 E Westview Ct, Spokane, WA 99218 Phone: 509-465-8800 |