Individual provider Active NPI

Monica Elizabeth Mann, PTA

  • Physical Therapy Assistant
  • Burien, WA
National Provider Identifier
1386101244
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
60913933 Issued in WA
Practice address
16259 Sylvester Rd SW
Burien, WA 98166-3049
Phone
(206) 242-5186
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 60913933 WA Primary

Addresses

Primary practice location

16259 Sylvester Rd SW
Burien, WA 98166-3049

Mailing address

4455 NE 12TH St Apt 28-1
Renton, WA 98059-4080

Other practice location 1

22659 Pacific Hwy S Ste 201
Des Moines, WA 98198-5155
Phone (206) 824-3668

Other practice location 2

16251 Sylvester Rd SW
Burien, WA 98166-3052
Phone (206) 244-9970

Other practice location 3

4700 42nd Ave SW Ste 510
Seattle, WA 98116-4583
Phone (206) 933-1030

Other practice location 4

13050 Military Rd S
Tukwila, WA 98168-3047
Phone (253) 661-0041

Other practice location 5

1010 S 336th St Ste 112
Federal Way, WA 98003-7355
Phone (253) 661-0041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60913933WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1386101244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 NE 12TH ST APT 28-1",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980594080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-242-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22659 Pacific Hwy S Ste 201",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981985155",
            "country_code": "US",
            "telephone_number": "206-824-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16251 Sylvester Rd SW",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981663052",
            "country_code": "US",
            "telephone_number": "206-244-9970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 42nd Ave SW Ste 510",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164583",
            "country_code": "US",
            "telephone_number": "206-933-1030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13050 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981683047",
            "country_code": "US",
            "telephone_number": "253-661-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 S 336th St Ste 112",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980037355",
            "country_code": "US",
            "telephone_number": "253-661-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "MONICA",
        "middle_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60913933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.