Active NPI
Marianne T McGreevy
- Physical Therapist
- Pullman, WA
National Provider Identifier
1457401978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000033350
- Practice address
- 1035 NW Nye St
Pullman, WA 99163-3428 - Phone
- (509) 332-3325
- Fax
- (509) 332-3819
- NPI assigned
- Jan 10, 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 | PT000033350 | WA | Primary |
Addresses
Primary practice location
1035 NW Nye St
Pullman, WA 99163-3428
Mailing address
1035 NW Nye St
Pullman, WA 99163-3428
Phone (509) 332-3325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GAB18677 | Other | WA | LEGACY PROVIDER # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000033350 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295913600000",
"number": "1457401978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 NW NYE ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633428",
"telephone_number": "509-332-3325",
"fax_number": "509-332-3819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 NW NYE ST",
"city": "PULLMAN",
"state": "WA",
"postal_code": "991633428",
"telephone_number": "509-332-3325",
"fax_number": "509-332-3819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREEVY",
"first_name": "MARIANNE",
"middle_name": "T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2011-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT000033350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGACY PROVIDER #",
"identifier": "GAB18677",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pullman, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.