Individual provider Active NPI

Tiffany Manrique

  • Physical Therapist
  • Everett, WA
National Provider Identifier
1205617479
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61627024 Issued in WA
Practice address
4220 Hoyt Ave
Everett, WA 98203-2317
Phone
(425) 258-5330
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40801 FL
Physical Therapist 225100000X NM
Physical Therapist 225100000X PT61627024 WA Primary

Addresses

Primary practice location

4220 Hoyt Ave
Everett, WA 98203-2317

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

7600 S Southwood Cir
Davie, FL 33328-3856
Phone (786) 340-9386

Other practice location 2

4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011
Phone (515) 217-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM, WA, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20231205001107 FL Practitioner - Physical Therapist in Private Practice 9638527401
I20240105004245 NM Practitioner - Physical Therapist in Private Practice 9638527401 Reassigns benefits to 1 organization
I20250129002693 WA Practitioner - Physical Therapist in Private Practice 9638527401 Reassigns benefits to 1 organization
I20260414000052 CO Practitioner - Physical Therapist in Private Practice 9638527401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Pain CenterGroup PAC ID 1052469152, 61 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

1230 Tenderfoot Hill Rd
Suite And255
Colorado Springs, CO 80906-7346
Phone (720) 749-5599

4220 Hoyt Ave
Everett, WA 98203-2317
Phone (425) 258-5330

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
88.33
Improvement activities
40
Cost
75.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Physical Therapy at Dawn, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 15, 2025 Accepting new patients
Link Home Therapy Services of Florida LLC Physical Therapist CurrentSince Sep 25, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

4411 San Mateo Blvd NE
Ste 11
Albuquerque, NM 87109
Phone (505) 217-3907

600 Central Ave SE
Ste D
Albuquerque, NM 87102
Phone (505) 242-2294

6330 Riverside Plaza Ln NW
Albuquerque, NM 87120
Phone (505) 312-7930

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1205617479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032317",
            "telephone_number": "425-258-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 S Southwood Cir",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333283856",
            "country_code": "US",
            "telephone_number": "786-340-9386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 San Mateo Blvd NE Ste 11",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871092011",
            "country_code": "US",
            "telephone_number": "515-217-3907",
            "fax_number": "505-348-0063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40801",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61627024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.