| Cascade Summit Physical Therapy | |
|
1608 South 24th Ave, Ste 102, Yakima, WA 98902-5719 | |
| (509) 248-6113 | |
| (509) 457-8941 |
| Full Name | Cascade Summit Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 1608 South 24th Ave, Yakima, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316903123 | NPI | - | NPPES |
| 7087117 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT00003868 (Washington) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Provider Name | Peter J Teeple |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619984531 PECOS PAC ID: 1052308137 Enrollment ID: I20040429000917 |
| Provider Name | Charles R Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255395679 PECOS PAC ID: 0446140131 Enrollment ID: I20050926001275 |
| Provider Name | Benjie R Pease |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851532873 PECOS PAC ID: 7517015936 Enrollment ID: I20090423000184 |
| Provider Name | Kenneth J Mcconnehey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790015154 PECOS PAC ID: 0749325223 Enrollment ID: I20100309000174 |
| Provider Name | Bruce Harlow Whiteside |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669518080 PECOS PAC ID: 6406743491 Enrollment ID: I20110608000340 |
| Provider Name | Michele L.w. Jacobs |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053605345 PECOS PAC ID: 4082882451 Enrollment ID: I20110801000011 |
| Provider Name | Nola Fraser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568432755 PECOS PAC ID: 5496784720 Enrollment ID: I20150804003256 |
| Provider Name | Christopher T Dunlop |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487763504 PECOS PAC ID: 3779475819 Enrollment ID: I20160602000963 |
| Provider Name | Rosio Maribel Vargas-negri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275173494 PECOS PAC ID: 8628406618 Enrollment ID: I20200325003769 |
| Provider Name | Josiah D Mitchum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265016307 PECOS PAC ID: 0941609119 Enrollment ID: I20210520002969 |
| Provider Name | Jennifer Sloop Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164022158 PECOS PAC ID: 4880068279 Enrollment ID: I20230327001723 |
| Provider Name | Tiffany Salido |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255719126 PECOS PAC ID: 8729385158 Enrollment ID: I20230407000396 |
| Provider Name | Jesse Steele |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093571598 PECOS PAC ID: 8921536749 Enrollment ID: I20250107003848 |
| Provider Name | Shelbi N Owning |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891673059 PECOS PAC ID: 9133615925 Enrollment ID: I20251231002040 |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Summit Physical Therapy 330 Franklin Rd, Ste 135a-102, Brentwood, TN 37027-3280 Ph: (760) 256-2800 | Cascade Summit Physical Therapy 1608 South 24th Ave, Ste 102, Yakima, WA 98902-5719 Ph: (509) 248-6113 |