Active NPI
Maureen L Peterson, PT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1194867325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00009385
- Practice address
- 325 9TH Ave
Box 359897
Seattle, WA 98104-2420 - Phone
- (206) 731-5197
- Fax
- (206) 744-5634
- NPI assigned
- Feb 13, 2007
- Last updated
- Aug 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32043 | CA | |
| Physical Therapist | 225100000X | 00009385 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Box 359897
Seattle, WA 98104-2420
Mailing address
122 Harrington Rd
Mossyrock, WA 98564-9406
Phone (206) 948-2283
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009385 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
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.
-
dba TAI Cedar Hills Physical Therapy
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1194867325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 HARRINGTON RD",
"city": "MOSSYROCK",
"state": "WA",
"postal_code": "985649406",
"telephone_number": "206-948-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "BOX 359897",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-731-5197",
"fax_number": "206-744-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "MAUREEN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-13",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "32043",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00009385",
"primary": true
}
],
"identifiers": [],
"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 Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.