Tiari Gardner Degraw, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1010 S 336TH St Ste 120
Federal Way, WA 98003-7354

Phone

(866) 835-8091

Fax

(253) 835-7102

NPI assigned

May 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003021569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 162ND AVE E",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983903108",
            "telephone_number": "253-891-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 120",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "866-835-8091",
            "fax_number": "253-835-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAW",
        "first_name": "TIARI",
        "middle_name": "GARDNER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Decaro, LMP
• Amy Decker
• Jessica Marie Decker, NCMA
• Aleen June Decoteau, LPTA
• Genene Kassaye Degefu
• Jonathan Dehaan, MD
• Ryan Delacruz
• Irina V Delahut
• Abigail Deland, LMP
• Francesca L Dellamaggiore

• All providers in Federal Way, WA
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.