Active NPI
Mandy Macskimming, PT
- Physical Therapist
- Burien, WA
National Provider Identifier
1700649142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT61503221
- Practice address
- 16251 Sylvester Rd SW
Burien, WA 98166-3017 - Phone
- (206) 248-4639
- NPI assigned
- Jan 30, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61503221 | WA | Primary |
| Physical Therapist | 225100000X | PT018625 | OH |
Addresses
Primary practice location
16251 Sylvester Rd SW
Burien, WA 98166-3017
Mailing address
4040 26TH Ave SW Apt 111
Seattle, WA 98106-1267
Phone (513) 504-4716
Other names 1
- Amanda Stanislovaitis
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 |
|---|---|---|---|
| PT018625 | OH | MD | Physical Therapist |
| PT61503221 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700649142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 26TH AVE SW APT 111",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061267",
"telephone_number": "513-504-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16251 SYLVESTER RD SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663017",
"telephone_number": "206-248-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACSKIMMING",
"first_name": "MANDY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-30",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT61503221",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT018625",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "STANISLOVAITIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.