Individual provider Active NPI

Jessica Craik Macdonald, DPT

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1659509727
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60231770 Issued in WA
Practice address
1313 Broadway Ste 200
Tacoma, WA 98402-3400
Phone
(253) 301-6400
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38739 CA
Physical Therapist 225100000X PT60231770 WA Primary

Addresses

Primary practice location

1313 Broadway Ste 200
Tacoma, WA 98402-3400

Mailing address

5224 336TH Ave SE
Fall City, WA 98024-9654
Phone (401) 935-0102

Other identifiers 1

IdentifierTypeStateIssuer
PT60231770OtherWAPHYSICAL THERAPIST LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218001428 WA Practitioner - Physical Therapist in Private Practice 7719025907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehabilitation Group PCGroup PAC ID 0042111718, 192 clinicians

Practice addresses (Care Compare)

35323 SE Douglas St
Suite 210
Snoqualmie, WA 98065-9289
Phone (425) 292-1477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38739CAMDPhysical Therapist
PT60231770WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 4 King County Washington CurrentSince Nov 1, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Nov 1, 2025 Accepting new patients
Tru-Care Physical Therapy Inc. Physical Therapist PastSince Aug 1, 1997 Accepting new patients
Public Hospital District No 4, King County Wa Physical Therapist Past Accepting new patients
Adams Physical Therapy Physical Therapist Past Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

35323 SE Douglas St
Ste 210
Snoqualmie, WA 98065
Phone (425) 292-1477

9801 Frontier Ave SE
Snoqualmie, WA 98065
Phone (425) 831-2300

201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1659509727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 336TH AVE SE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980249654",
            "telephone_number": "401-935-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BROADWAY STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023400",
            "telephone_number": "253-301-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "JESSICA",
        "middle_name": "CRAIK",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38739",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60231770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT60231770",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.