Individual provider Active NPI

Lauren Donahue Mahr, DPT

  • Physical Therapist
  • Bothell, WA
National Provider Identifier
1104199389
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60833594 Issued in WA
Practice address
3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Phone
(425) 408-7733
Fax
(425) 408-7740
NPI assigned
Feb 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 PT60833594 WA Primary

Addresses

Primary practice location

3330 Monte Villa Pkwy
Bothell, WA 98021-8972

Mailing address

3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Phone (425) 408-7733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605003215 WA Practitioner - Physical Therapist in Private Practice 0446491831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 19, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Dec 19, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc Physical Therapist PastSince Jun 11, 2002 Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc PastSince Jun 6, 2021 Accepting new patients

Locations

15809 Bear Creek Pkwy
Ste 100
Redmond, WA 98052
Phone (425) 882-6100

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: ldonahue208051@ghc.direct-ci.net
  • Direct secure messaging: lauren@direct.meditouchehr.com

Organizations & group practices 5

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": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1104199389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-408-7733",
            "fax_number": "425-408-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MONTE VILLA PKWY",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980218972",
            "telephone_number": "425-408-7733",
            "fax_number": "425-408-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHR",
        "first_name": "LAUREN",
        "middle_name": "DONAHUE",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60833594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.