Mary Elizabeth Ackerman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00008405 Issued in WA

Practice address

15435 Main St NE # 101
Duvall, WA 98019-8576

Phone

(425) 402-9772

Fax

(425) 402-9443

NPI assigned

Jul 26, 2006

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Beth Ackerman Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elevate Physical Rehabilitation Group PLLCGroup PAC ID 0941564751, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elevate Physical Rehabilitation Group PLLC

  dba PhysioCare Physical Therapy

  • Physical Therapist
  • Woodinville, WA
  • NPI 1144735721
  Medicare reassignment Care Compare group NPD
• Balance Physical Therapy Inc, P.S.

  • Physical Therapist
  • Issaquah, WA
  • NPI 1710197090
  NPD (past)
• Bruce a Rolfe, MD

  dba KneeFootAnkleCenter

  • Orthopaedic Surgery Physician
  • Kirkland, WA
  • NPI 1891975181
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1295758316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17618 140TH AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980726800",
            "telephone_number": "425-402-9772",
            "fax_number": "425-402-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 MAIN ST NE # 101",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198576",
            "telephone_number": "425-402-9772",
            "fax_number": "425-402-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY BETH",
            "last_name": "ACKERMAN",
            "prefix": "MS.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Advanced Family Eye Care of Duvall (Duvall Advanced Family Eye Care)
• Trisha Aiyer
• Julia Anne Alness, MA-CCC/SLP
• Arezoo Holdaway PLLC
• Danielle Arguello

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.