Active NPI
Marsha K. Hiller, PT
- Physical Therapist
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00005135
- Practice address
- 8907 Gravelly Lake Dr SW Ste a
Lakewood, WA 98499-3152 - Phone
- (253) 589-9600
- Fax
- (253) 589-9610
- NPI assigned
- Nov 15, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00005135 | WA | Primary |
Addresses
Primary practice location
8907 Gravelly Lake Dr SW Ste a
Lakewood, WA 98499-3152
Mailing address
8907 Gravelly Lake Dr SW Ste a
Lakewood, WA 98499-3152
Phone (253) 589-9600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11550913 | Other | WA | CAQH |
| 7133358 | Medicaid | WA | |
| 0205655 | Other | WA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
8909 Gravelly Lake Dr SW
Suite C
Lakewood, WA 98499-3101
Phone (253) 589-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainbow Rehab,PLLC | Physical Therapist | Current | Accepting new patients |
Locations
8907 Gravelly Lake Dr SW
Ste A
Lakewood, WA 98499
Phone (253) 475-8622
8909 Gravelly Lake Dr SW
Ste C
Lakewood, WA 98499
Phone (253) 589-9600
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336212760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8907 GRAVELLY LAKE DR SW STE A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993152",
"telephone_number": "253-589-9600",
"fax_number": "253-589-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8907 GRAVELLY LAKE DR SW STE A",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993152",
"telephone_number": "253-589-9600",
"fax_number": "253-589-9610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLER",
"first_name": "MARSHA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00005135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11550913",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7133358",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0205655",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.