Active NPI
Marialis J Jurges, P.T.
- Physical Therapist
- Silverdale, WA
National Provider Identifier
1669526448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00000540
- Practice address
- 10452 Silverdale Way NW
Silverdale, WA 98383-9411 - Phone
- (360) 307-7300
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00000540 | WA | Primary |
Addresses
Primary practice location
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Mailing address
PO Box 34584
Seattle, WA 98124-1584
Phone (509) 241-7349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8399727 | Medicaid | WA |
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 |
|---|---|---|---|
| PT00000540 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1669526448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34584",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241584",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10452 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839411",
"telephone_number": "360-307-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGES",
"first_name": "MARIALIS",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00000540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8399727",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
- Jorge O Zapata MD Inc PS
- Jill Jorgensen Bagwell, D.C.
- Sean Joseph, DC
- Brityn Jowers
- Jieun Han Jugao, DNP, ARNP
- Rachael Kain, L.M.P.
- Kaiser Foundation Health Plan of Washington
- Kaiser Foundation Health Plan of Washington (Kaiser Permanente Silverdale Pharmacy)
- Kaiser Foundation Health Plan of Washington (Silverdale Way Office Building)
- Kaiser Foundation Health Plan of Washington (Silverdale Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.