Active NPI
Maile Keller
- Physical Therapy Assistant
- Pullman, WA
National Provider Identifier
1003156399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PI60046655
- Practice address
- 835 SE Bishop Blvd
Pullman, WA 99163-5512 - Phone
- (509) 332-5106
- Fax
- (509) 334-5723
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PI60046655 | WA | Primary |
Addresses
Primary practice location
835 SE Bishop Blvd
Pullman, WA 99163-5512
Mailing address
835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-5106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PI60046655 | Other | WA | PI60046655 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PI60046655 | WA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1003156399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SE BISHOP BLVD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635512",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 SE BISHOP BLVD",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991635512",
"telephone_number": "509-332-5106",
"fax_number": "509-334-5723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "MAILE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "WA",
"license": "PI60046655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PI60046655",
"identifier": "PI60046655",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.