Individual provider Active NPI

Mandi Jo Murtaugh, PT, DPT, WCS

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1659719250
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60554581 Issued in WA
Practice address
325 Tacoma Ave S Ste 1
Tacoma, WA 98402-2550
Phone
(253) 254-6311
NPI assigned
Jun 6, 2013
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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 60554581 WA Primary
Orthopedic Physical Therapist 2251X0800X 60554581 WA

Addresses

Primary practice location

325 Tacoma Ave S Ste 1
Tacoma, WA 98402-2550

Mailing address

2522 N Proctor St # 380
Tacoma, WA 98406-5338
Phone (253) 254-6311

Other practice location 1

5331 SW MacAdam Ave
Suite 105
Portland, OR 97239-6104
Phone (503) 445-7999

Other practice location 2

2909 S 12th St
Tacoma, WA 98405-2540
Phone (253) 254-6311

Other names 1

  • Mandi Jo Reimers Former name

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
60554581WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mandi Murtaugh PLLC Current Accepting new patients
Element Wellness and Sports Rehabilitation Past Accepting new patients
Eastside Wellness Center, LLC Physical Therapist Past Accepting new patients

Locations

2522 N Proctor St
Tacoma, WA 98406
Phone (206) 414-8963

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1659719250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST # 380",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "253-254-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 TACOMA AVE S STE 1",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022550",
            "telephone_number": "253-254-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 SW MacAdam Ave",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972396104",
            "country_code": "US",
            "telephone_number": "503-445-7999",
            "fax_number": "503-445-7997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984052540",
            "country_code": "US",
            "telephone_number": "253-254-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURTAUGH",
        "first_name": "MANDI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, WCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60554581",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "60554581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDI",
            "last_name": "REIMERS",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 31, 2019; 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.