Individual provider Active NPI

Mary Luna Reissman, SLP

  • Speech-Language Pathologist
  • Spanaway, WA
National Provider Identifier
1295613297
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
61479574 Issued in WA
Practice address
516 176TH St E
Spanaway, WA 98387-8335
Phone
(253) 800-2000
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 61479574 WA Primary

Addresses

Primary practice location

516 176TH St E
Spanaway, WA 98387-8335

Mailing address

516 176TH St E
Spanaway, WA 98387-8335
Phone (253) 800-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251210003447 WA Practitioner - Qualified Speech Language Pathologist 9335633080 Reassigns benefits to 1 organization
I20251211001967 CA Practitioner - Qualified Speech Language Pathologist 9335633080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Expressable Therapy PCGroup PAC ID 0042698136, 67 clinicians
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

506 2ND Ave
Suite 1400
Seattle, WA 98104-2329
Phone (561) 462-3933

633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21459CAMDClinical Psychologist
61479574WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Jan 19, 2026 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Jan 19, 2026 Accepting new patients
Bethel School District PastSince Sep 3, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

506 2nd Ave
Ste 1400
Seattle, WA 98104
Phone (206) 486-8077

Organizations & group practices 3

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1295613297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 176TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878335",
            "telephone_number": "253-800-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 176TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878335",
            "telephone_number": "253-800-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISSMAN",
        "first_name": "MARY",
        "middle_name": "LUNA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61479574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.