PRISM PEDIATRIC THERAPY ASSOCIATES PLLC
NPI 1336506823
Physical Therapist - Pediatrics in Vancouver, WA

Active since January 28, 2016
7409 NE HAZEL DELL AVE, VANCOUVER, WA 98665(208) 287-9420 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2023, Jun 8, 2022, May 25, 2022 and 1 more (4 updates tracked since 2016).

About Prism Pediatric Therapy Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRISM PEDIATRIC THERAPY ASSOCIATES PLLC (NPI 1336506823) is a healthcare organization registered as a pediatrics in Vancouver, Washington and active in the NPI registry since January 2016. The organization lists Jennifer Rainey-yates, Owner, as its authorized official.

NPPES Registry Identity

NPI1336506823
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NamePRISM PEDIATRIC THERAPY ASSOCIATES PLLC
Location Address7409 NE HAZEL DELL AVEVancouver, WA 98665-8310
Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420
Organization SubpartNo
Authorized OfficialJennifer Rainey-yatesOwner · (360) 597-4048
Enumeration DateJanuary 28, 2016
Last NPPES UpdateMarch 1, 20234 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
NPI 1336506823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in WA · PT-60135582
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License OT-00003758 (WA)
7409 NE HAZEL DELL AVE, Vancouver, WA 98665

Other Identifiers 1

Other603502448WA · Ubi Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
7409 NE HAZEL DELL AVE
VANCOUVER, WA 98665
Occupational Therapist
7409 NE HAZEL DELL AVE
VANCOUVER, WA 98665
Speech-Language Pathologist
7409 NE HAZEL DELL AVE, STE 112
VANCOUVER, WA 98665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prism Pediatric Therapy Associates PLLC's NPI number?

The NPI number for Prism Pediatric Therapy Associates PLLC is 1336506823. It was assigned to this organization in the NPPES registry on January 28, 2016.

Where is Prism Pediatric Therapy Associates PLLC located?

Prism Pediatric Therapy Associates PLLC is located at 7409 NE Hazel Dell Ave, Vancouver, WA 98665. The listed phone number is (208) 287-9420.

What is Prism Pediatric Therapy Associates PLLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Prism Pediatric Therapy Associates PLLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Prism Pediatric Therapy Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prism Pediatric Therapy Associates PLLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.