Individual provider Active NPI

Marsha K. Hiller, PT

  • Physical Therapist
  • Lakewood, WA
National Provider Identifier
1336212760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00005135 Issued in WA
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11550913OtherWACAQH
7133358MedicaidWA
0205655OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000179 WA Practitioner - Physical Therapist in Private Practice 5193732774 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Rainbow Rehab,PLLC Physical Therapist CurrentSince Jan 23, 2006 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.

Verify at the official NPI Registry.