MEDICARE: SPOKANE SPORTS AND PHYSICAL THERAPY, PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT00006468	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407043037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPOKANE SPORTS AND PHYSICAL THERAPY, PS

Provider Business Mailing Address
First Line	:	9631 N NEVADA ST
Second Line	:	STE LL2
City	:	SPOKANE
State	:	WA
Zip	:	99218-1133
Country	:	US
Telephone Number	:	509-483-0889
Fax Number	:

Provider Business Practice Location Address
First Line	:	9631 N NEVADA ST
Second Line	:	STE LL2
City	:	SPOKANE
State	:	WA
Zip	:	99218-1133
Country	:	US
Telephone Number	:	509-483-0889
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	CRAIG L. STEPHENS
Credential	:	P.T.
Telephone Number	:	509-483-0889

Provider Enumeration Date	:	09/27/2007
Last Update Date	:	05/15/2014

Similar Medicare Providers

1134128697 — DONALD F. CONDON M.D.
Practice Location Address:

9631 N NEVADA ST , SUITE 202
SPOKANE, WA
99218-1133

Practice Phone: 509-467-1100
Practice Fax: 509-468-0173

1629130273 — MS. RANDI G CARTER PA-C
Practice Location Address:

9631 N NEVADA ST , SUITE 210
SPOKANE, WA
99218-1133

Practice Phone: 509-979-5105
Practice Fax:

1063692747 — DONALD F. CONDON, M.D.
Practice Location Address:

9631 N NEVADA ST , STE 202
SPOKANE, WA
99218-1133

Practice Phone: 509-467-1100
Practice Fax: 509-468-0173

1275716748 — NORTHPOINTE FAMILY MEDICINE PLLC
Practice Location Address:

9631 N NEVADA ST , SUITE 304
SPOKANE, WA
99218-1133

Practice Phone: 509-466-1271
Practice Fax:

1750567988 — CONNIE G SILK RC
Practice Location Address:

9631 N NEVADA ST , SUITE 100
SPOKANE, WA
99218-1133

Practice Phone: 509-688-6760
Practice Fax: 509-688-6769

1679707434 — AMANDA C SMITH LMP
Practice Location Address:

9631 N NEVADA ST , SUITE 101
SPOKANE, WA
99218-1133

Practice Phone: 509-688-8710
Practice Fax: 509-688-6790

Directions to “SPOKANE SPORTS AND PHYSICAL THERAPY, PS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.