Active NPI
Mandi Jo Murtaugh, PT, DPT, WCS
- Physical Therapist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60554581
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60554581 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Dr. Mandi Murtaugh Physical Therapy & Yoga
- Physical Therapy Clinic/Center
- Tacoma, WA
- NPI 1699533885
-
dba Element Wellness and Sports Rehabilitation
- Chiropractor
- Portland, OR
- NPI 1053504696
Physical Therapist
-
- Massage Therapist
- Portland, OR
- NPI 1043694433
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.