Individual provider Active NPI

Maggie L Garner

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1063930212
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4220 Hoyt Ave
Everett, WA 98203-2317
Phone
(425) 258-5330
Fax
(425) 258-6118
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32911 FL
Physical Therapist 225100000X PT013189 GA
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

4220 Hoyt Ave
Everett, WA 98203-2317

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

100 Lindsey Ln Ste A
Saint Marys, GA 31558-1727
Phone (912) 729-1333

Other identifiers 1

IdentifierTypeStateIssuer
PT32911OtherFLPT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220909000491 VA Practitioner - Physical Therapist in Private Practice 7416215520 Reassigns benefits to 1 organization
I20240129004394 WA Practitioner - Physical Therapist in Private Practice 7416215520 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

12040 NE 128TH St
Ms 10
Kirkland, WA 98034-3013
Phone (206) 466-0369

1519 132ND St SE a
Murphys Corner Physical Therapy
Everett, WA 98208-7203
Phone (425) 337-9556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32911FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No 2 Current Accepting new patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Dec 31, 2023 Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Jan 16, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist Current Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Aug 1, 2022 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Dec 31, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Aug 1, 2022 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
Advance Rehabilitation and Consulting Physical Therapist Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

90 Greenspring Dr
Stafford, VA 22554
Phone (540) 373-7133

13555 SE 36th St
Ste 100
Bellevue, WA 98006

1519 132nd St SE
Ste A
Everett, WA 98208
Phone (425) 337-9556

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1063930212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032317",
            "telephone_number": "425-258-5330",
            "fax_number": "425-258-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lindsey Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "GA",
            "postal_code": "315581727",
            "country_code": "US",
            "telephone_number": "912-729-1333",
            "fax_number": "912-729-5259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARNER",
        "first_name": "MAGGIE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32911",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013189",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT32911",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.