Active NPI
Shelly M McDiarmid, PT
- Physical Therapist
- Walla Walla, WA
National Provider Identifier
1730205204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00009283
- Practice address
- 1067 Isaacs Ave
Walla Walla, WA 99362-2040 - Phone
- (509) 525-5561
- Fax
- (509) 525-3517
- NPI assigned
- Mar 22, 2007
- 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 | PT00009283 | WA | Primary |
Addresses
Primary practice location
1067 Isaacs Ave
Walla Walla, WA 99362-2040
Mailing address
1067 Isaacs Ave
Walla Walla, WA 99362-2040
Phone (509) 525-5561
Other names 1
- Shelly Davidson
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 |
|---|---|---|---|
| PT25490 | CA | MD | Physical Therapist |
| PT00009283 | WA | MD | Physical Therapist |
| 25490 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walla Walla Community Hospice | Current | Accepting new patients | |
| Issaquah Obstetrics and Gynecology PLLC | Past | Accepting new patients | |
| Thrive Physical Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community Based Hospice Care Agency
- Walla Walla, WA
- NPI 1497759203
-
- Obstetrics & Gynecology Physician
- Issaquah, WA
- NPI 1073581807
-
- Physical Therapist
- Clovis, CA
- NPI 1346359023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1730205204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 ISAACS AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622040",
"telephone_number": "509-525-5561",
"fax_number": "509-525-3517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 ISAACS AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622040",
"telephone_number": "509-525-5561",
"fax_number": "509-525-3517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDIARMID",
"first_name": "SHELLY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00009283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "DAVIDSON",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.