Individual provider Active NPI

Tasha L McElravy, DPT

  • Physical Therapist
  • Tumwater, WA
National Provider Identifier
1710024849
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009176 Issued in WA
Practice address
1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303
Phone
(360) 754-3338
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34041 CA
Physical Therapist 225100000X PT00009176 WA Primary

Addresses

Primary practice location

1610 Bishop Rd SW Ste 101
Tumwater, WA 98512-7303

Mailing address

PO Box 2181
Forks, WA 98331-2181
Phone (323) 683-4996

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

LicenseStateTypeSpecialty
PT34041CAMDPhysical Therapist
PT00009176WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Merit Rehab, LLC Physical Therapist Past Accepting new patients
Merit Rehab, LLC Physical Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1710024849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2181",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983312181",
            "telephone_number": "323-683-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 BISHOP RD SW STE 101",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985127303",
            "telephone_number": "360-754-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELRAVY",
        "first_name": "TASHA",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT34041",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.