Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prism Pediatric Therapy Associates PLLC

Organization Pediatric Physical Therapist · NPI 1336506823

Prism Pediatric Therapy Associates PLLC provides Pediatric Physical Therapist services in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2016.

Licensed in
WA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7409 NE Hazel Dell Ave
Vancouver, WA 98665-8310
Phone: (208) 287-9420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT-60135582 (WA)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT-00003758 (WA)

Record details

NPI number1336506823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Rainey-Yates — Owner · (360) 597-4048
NPI enumeratedJanuary 28, 2016
Last updated in NPPESMarch 1, 2023
Certification dateMarch 1, 2023
Mailing address1940 S Bonito Way Ste 190, Meridian, ID 83642-5618

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