Individual provider Active NPI

Shelly M McDiarmid, PT

  • Physical Therapist
  • Walla Walla, WA
National Provider Identifier
1730205204
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009283 Issued in WA
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

Updated by the provider on Aug 31, 2026

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 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 Former name

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
PT25490CAMDPhysical Therapist
PT00009283WAMDPhysical Therapist
25490CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walla Walla Community Hospice Current Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients
Thrive Physical Therapy Physical Therapist PastSince Dec 10, 2012 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.

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.

Verify at the official NPI Registry.