Active NPI
Mary Christina Werner, DPT
- Physical Therapist
- Enumclaw, WA
National Provider Identifier
1538644489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60890400
- Practice address
- 1455 Battersby Ave
Enumclaw, WA 98022-3634 - Phone
- (608) 334-2714
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14409-24 | WI | |
| Physical Therapist | 225100000X | PT60890400 | WA | Primary |
Addresses
Primary practice location
1455 Battersby Ave
Enumclaw, WA 98022-3634
Mailing address
233 St Helens Ave Apt 509
Tacoma, WA 98402-2586
Phone (608) 334-2714
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT60890400 | WA | MD | Physical Therapist |
| 14409-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1538644489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 ST HELENS AVE APT 509",
"city": "TACOMA",
"state": "WA",
"postal_code": "984022586",
"telephone_number": "608-334-2714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 BATTERSBY AVE",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980223634",
"telephone_number": "608-334-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WERNER",
"first_name": "MARY",
"middle_name": "CHRISTINA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "14409-24",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60890400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enumclaw, WA
- Helen J Walton, CRNA
- Terri Anne Ward
- Charity Joy Warnokowski
- Kelcey Webster
- Richard Elwyn Weide, DDS
- Michelle Marie Werner, RDH
- Allison Carrie Wettstein
- Vicroria Ann Whisler, MA, LMFT
- White River Community Healthcare LLC (White River Assisted Living)
- White River MC Healthcare LLC (White River Memory Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.