Individual provider Active NPI

Murray Ernest Maitland, PHD PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1669714036
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00010569 Issued in WA
Practice address
University of Washington 1959 Pacific St NE
Seattle, WA 98195-6490
Phone
(206) 598-5342
Fax
(206) 685-3244
NPI assigned
Mar 22, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00010569 WA Primary

Addresses

Primary practice location

University of Washington 1959 Pacific St NE
Seattle, WA 98195-6490

Mailing address

University of Washington 1959 Pacific St NE
Seattle, WA 98195-6490
Phone (206) 598-5342

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PT00010569WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1669714036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON 1959 PACIFIC ST NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956490",
            "telephone_number": "206-598-5342",
            "fax_number": "206-685-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WASHINGTON 1959 PACIFIC ST NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956490",
            "telephone_number": "206-598-5342",
            "fax_number": "206-685-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAITLAND",
        "first_name": "MURRAY",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "PHD PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2013; 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.