Active NPI
Jessica Craik Macdonald, DPT
- Physical Therapist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60231770
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60231770 | Other | WA | PHYSICAL THERAPIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT38739 | CA | MD | Physical Therapist |
| PT60231770 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Physical Therapist | Current | Accepting new patients |
| Public Hospital District No 4 King County Washington | Current | Accepting new patients | |
| Tru-Care Physical Therapy Inc. | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Physical Therapist
-
- Physical Therapist
- Seattle, WA
- NPI 1255180410
-
- Rural Health Clinic/Center
- Snoqualmie, WA
- NPI 1558869289
-
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
Physical Therapist
-
- Physical Therapist
- San Diego, CA
- NPI 1114970050
-
- Physical Therapist
- East Greenwich, RI
- NPI 1043236656
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.