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

Prism Pediatric Therapy Associates PLLC

Organization Pediatric Physical Therapist · NPI 1336506823

Prism Pediatric Therapy Associates PLLC is a Pediatric Physical Therapist 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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