MEDICARE: SENIOR STRIDES PHYSICAL THERAPY PLLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1275496366
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR STRIDES PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	810 W VIEWMONT RD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8264
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 W VIEWMONT RD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8264
Country	:	US
Telephone Number	:	509-251-3923
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAVONNE LANIER
Credential	:	PT, DPT
Telephone Number	:	509-251-3923

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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