Individual provider Active NPI

Connie Jean De Maria, PTA

  • Physical Therapy Assistant
  • Seattle, WA
National Provider Identifier
1659745651
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
P160039700 Issued in WA
Practice address
116 Fairview Ave N
Seattle, WA 98109-5360
Phone
(206) 254-1456
NPI assigned
Nov 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X P160039700 WA Primary

Addresses

Primary practice location

116 Fairview Ave N
Seattle, WA 98109-5360

Mailing address

7001 Seaview Ave NW Ste 160
Seattle, WA 98117-6021
Phone (206) 861-4653

Other identifiers 1

IdentifierTypeStateIssuer
P160039700OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH PHYSICAL THERAPIST ASSISTANT

Other names 1

  • Connie Jean Demaria Other 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P160039700WAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1447545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1659745651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SEAVIEW AVE NW STE 160",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981176021",
            "telephone_number": "206-861-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FAIRVIEW AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095360",
            "telephone_number": "206-254-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE MARIA",
        "first_name": "CONNIE",
        "middle_name": "JEAN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-15",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160039700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH PHYSICAL THERAPIST ASSISTANT",
            "identifier": "P160039700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "DEMARIA",
            "middle_name": "JEAN",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.