Active NPI
Maureen Ann Rager-McKinnon, P.T.
- Physical Therapist
- Spokane, WA
National Provider Identifier
1669544250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002891
- Practice address
- 2118 W Garland Ave
Spokane, WA 99205-2526 - Phone
- (509) 326-1651
- Fax
- (509) 326-1658
- NPI assigned
- Nov 15, 2006
- 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 | PT00002891 | WA | Primary |
Addresses
Primary practice location
2118 W Garland Ave
Spokane, WA 99205-2526
Mailing address
2118 W Garland Ave
Spokane, WA 99205-2526
Phone (509) 326-1651
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010147687 | Other | ID | REGENCE BLUE SHIELD |
| 3190RA | Other | WA | ASURIS NW HEALTH |
| 7033228 | Medicaid | WA |
Other names 1
- Maureen Ann Rager
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT00002891 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Guilds' School & Neuromuscular Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmental Disabilities Clinic/Center
- Spokane, WA
- NPI 1063493393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669544250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2118 W GARLAND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992052526",
"telephone_number": "509-326-1651",
"fax_number": "509-326-1658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 W GARLAND AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992052526",
"telephone_number": "509-326-1651",
"fax_number": "509-326-1658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGER-MCKINNON",
"first_name": "MAUREEN",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "000010147687",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS NW HEALTH",
"identifier": "3190RA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7033228",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "RAGER",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.