Individual provider Active NPI

Donna Lynne Love, PTA, CCI

  • Physical Therapy Assistant
  • Monroe, WA
National Provider Identifier
1154562445
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P160069897 Issued in WA
Practice address
1355 W Main St
Monroe, WA 98272-2022
Phone
(360) 794-4011
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160069897 WA Primary

Addresses

Primary practice location

1355 W Main St
Monroe, WA 98272-2022

Mailing address

1731 127TH PL SE
Everett, WA 98208-6516
Phone (425) 218-1025

Other practice location 1

1919 112th St SW
Everett, WA 98204-3784
Phone (425) 513-1600

Other practice location 2

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 259-5508

Other practice location 3

13023 Greenwood Ave N
Seattle, WA 98133-7308
Phone (206) 364-1300

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

LicenseStateTypeSpecialty
P160069897WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154562445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 127TH PL SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086516",
            "telephone_number": "425-218-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722022",
            "telephone_number": "360-794-4011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 112th St SW",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982043784",
            "country_code": "US",
            "telephone_number": "425-513-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "916 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014147",
            "country_code": "US",
            "telephone_number": "425-259-5508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13023 Greenwood Ave N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981337308",
            "country_code": "US",
            "telephone_number": "206-364-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVE",
        "first_name": "DONNA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PTA, CCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160069897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.