MEDICARE: ADAPTIVE THERAPIES, LLC

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1942143086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTIVE THERAPIES, LLC

Provider Business Mailing Address
First Line	:	201 W NORTH RIVER DR STE 518
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2262
Country	:	US
Telephone Number	:	509-342-0780
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 W NORTH RIVER DR STE 518
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-2262
Country	:	US
Telephone Number	:	509-342-0780
Fax Number	:

Authorized Official
Title or Position	:	GOVERNOR
Name	:	MR. THOMAS BRYANT
Credential	:	SUDP
Telephone Number	:	509-342-0780

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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