Individual provider Active NPI

Marianne T McGreevy

  • Physical Therapist
  • Pullman, WA
National Provider Identifier
1457401978
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT000033350 Issued in WA
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

Updated by the provider on Jan 25, 2011

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 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

IdentifierTypeStateIssuer
GAB18677OtherWALEGACY 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

LicenseStateTypeSpecialty
PT000033350WAMDPhysical 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.

Verify at the official NPI Registry.