Individual provider Active NPI

Ellen Murphy, PT, DPT

  • Physical Therapist
  • Des Moines, WA
National Provider Identifier
1114585361
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61271637 Issued in WA
Practice address
27005 Pacific Hwy S
Des Moines, WA 98198-9250
Phone
(253) 839-9280
Fax
(253) 839-9375
NPI assigned
Jun 3, 2019
Last updated
Apr 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1318740 TX
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT61271637 WA Primary

Addresses

Primary practice location

27005 Pacific Hwy S
Des Moines, WA 98198-9250

Mailing address

27005 Pacific Hwy S
Des Moines, WA 98198-9250
Phone (253) 839-9280

Other names 1

  • Ellen Marko Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003254 WA Practitioner - Physical Therapist in Private Practice 3173904471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upward Physical Therapy and Wellness LLCGroup PAC ID 5092133678, 8 clinicians

Practice addresses (Care Compare)

6007 12TH Ave S
Seattle, WA 98108-2762
Phone (206) 580-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1318740TXMDPhysical Therapist
PT61271637WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Upward Physical Therapy and Wellness LLC Single Specialty CurrentSince Jun 20, 2022 Accepting new patients

Locations

6007 12th Ave S
Seattle, WA 98108
Phone (206) 580-3670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1114585361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27005 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "253-839-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27005 PACIFIC HWY S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981989250",
            "telephone_number": "253-839-9280",
            "fax_number": "253-839-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "ELLEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-03",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1318740",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61271637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "MARKO",
            "credential": "PT,DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.