Active NPI
Christine Mayer Harvey, PT
- Physical Therapist
- Kent, WA
National Provider Identifier
1669579363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3181
- Practice address
- 24020 132ND Ave SE
Kent, WA 98042-5108 - Phone
- (253) 631-1933
- NPI assigned
- Sep 17, 2006
- Last updated
- Oct 18, 2011
- 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 | PT3181 | WA | Primary |
Addresses
Primary practice location
24020 132ND Ave SE
Kent, WA 98042-5108
Mailing address
24609 156TH Ave SE
Kent, WA 98042-4143
Phone (253) 630-0469
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049497 | Other | WA | L&I |
| P00060734 | Other | WA | RAILROAD MEDICARE |
| HA9052 | Other | WA | REGENCE |
| 8353088 | 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 |
|---|---|---|---|
| PT3181 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Physical Therapy & Sports Rehabilitation Inc PC | Physical Therapist | Past | Accepting new patients |
| Kent Easthill Physical Therapy PS | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Kent, WA
- NPI 1992856611
-
- Physical Therapist
- Maple Valley, WA
- NPI 1730394420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318896000000",
"number": "1669579363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24609 156TH AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980424143",
"telephone_number": "253-630-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24020 132ND AVE SE",
"city": "KENT",
"state": "WA",
"postal_code": "980425108",
"telephone_number": "253-631-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "CHRISTINE",
"middle_name": "MAYER",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2011-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT3181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0049497",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00060734",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "HA9052",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8353088",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.