Ilise Devine Mears, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010344 Issued in WA

Practice address

10208 N Division St Ste 102
Spokane, WA 99218-1570

Phone

(509) 465-5400

Fax

(509) 465-5401

NPI assigned

Jun 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ilise Devine Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapeutic Associates IncGroup PAC ID 0042116279, 319 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ilise.mears.1@31414.direct.athenahealth.com

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.

• Therapeutic Associates Inc

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1497731244
  Medicare reassignment Care Compare group NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Yakima, WA
  • NPI 1265768386
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1144042649
  NPD
• Therapeutic Associates Inc

  • Physical Therapist
  • Bothell, WA
  • NPI 1114376563
  NPD (past)
• Tucson Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1407851322
  NPD (past)

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1194722728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 N DIVISION ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181570",
            "telephone_number": "509-465-5400",
            "fax_number": "509-465-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 N DIVISION ST STE 102",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181570",
            "telephone_number": "509-465-5400",
            "fax_number": "509-465-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 S Craycroft Rd",
            "address_2": "Ste 140",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117118",
            "country_code": "US",
            "telephone_number": "520-747-5557",
            "fax_number": "520-747-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 N McDonald Rd Ste L-2",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161557",
            "country_code": "US",
            "telephone_number": "509-893-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEARS",
        "first_name": "ILISE",
        "middle_name": "DEVINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-28",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3359",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "86059251885711A007",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILISE",
            "last_name": "DEVINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ericka Meager, M.A.
• Kristen Anne Meager
• Lisa Marie Meale, ATC
• Stephen Wayne Mealey, PHARMD
• Paul Brian Means, NP
• Neill Mears, D.D.S.
• Shelby Mears, LMP
• Kameha Medallada
• Jamie Medel-Valdovinos
• Allison Lee Medema, CBT

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.