Active NPI
Mariah Joy Tank, PT, DPT
- Orthopedic Physical Therapist
- Seattle, WA
National Provider Identifier
1154883601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Practice address
- 5410 California Ave SW # 101
Seattle, WA 98136-1562 - Phone
- (206) 913-8082
- NPI assigned
- Apr 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | WA | Primary |
Addresses
Primary practice location
5410 California Ave SW # 101
Seattle, WA 98136-1562
Mailing address
5410 California Ave SW # 101
Seattle, WA 98136-1562
Phone (206) 913-8082
Other practice location 1
17935 NE 65th St
Redmond, WA 98052-4925
Phone (206) 641-7733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | WA | NA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586131200000",
"number": "1154883601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5410 CALIFORNIA AVE SW # 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361562",
"telephone_number": "206-913-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5410 CALIFORNIA AVE SW # 101",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981361562",
"telephone_number": "206-913-8082"
}
],
"practiceLocations": [
{
"address_1": "17935 NE 65th St",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980524925",
"country_code": "US",
"telephone_number": "206-641-7733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANK",
"first_name": "MARIAH",
"middle_name": "JOY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-03",
"last_updated": "2020-04-06",
"certification_date": "2020-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.