Individual provider Active NPI

Paula K Mays, MA PT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1093884298
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002796 Issued in WA
Practice address
1403 S Grand Blvd
Suite #102-S
Spokane, WA 99203-2263
Phone
(509) 624-4200
Fax
(509) 624-2817
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00002796 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd
Suite #102-S
Spokane, WA 99203-2263

Mailing address

1403 S Grand Blvd
Suite #102-S
Spokane, WA 99203-2263
Phone (509) 624-4200

Other identifiers 1

IdentifierTypeStateIssuer
8362758MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000746 WA Practitioner - Physical Therapist in Private Practice 4183520471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
025208WAMDCardiovascular Disease Physician
PT00002796WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A and B Physical Therapy PLLC Physical Therapist CurrentSince May 1, 2021 Accepting new patients

Locations

3017 E Francis Ave
Ste 102
Spokane, WA 99208
Phone (509) 465-9000

1403 S Grand Blvd
Ste 102S
Spokane, WA 99203
Phone (509) 624-4200

Organizations & group practices 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093884298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE #102-S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD",
            "address_2": "SUITE #102-S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032263",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "PAULA",
        "middle_name": "K",
        "credential": "MA PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8362758",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.