Individual provider Active NPI

Ruth Marie Mahre, MPT, OCS

  • Physical Therapist
  • Wenatchee, WA
National Provider Identifier
1770618225
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00007985 Issued in WA
Practice address
18 N Worthen St
Ste 200
Wenatchee, WA 98801-6137
Phone
(509) 665-3156
Fax
(509) 665-0414
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT00007985 WA Primary

Addresses

Primary practice location

18 N Worthen St
Ste 200
Wenatchee, WA 98801-6137

Mailing address

1200 Wenatchee Heights Rd
Wenatchee, WA 98801-8921

Other identifiers 1

IdentifierTypeStateIssuer
0174523OtherWALABOR & INDUSTRIES

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
PT00007985WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Biomechanical Sports Therapy, Inc Physical Therapist CurrentSince Sep 1, 2012 Accepting new patients
Boulder Mountain Physical Therapy Physical Therapist Past Accepting new patients

Locations

18 N Worthen St
Ste 200
Wenatchee, WA 98801
Phone (509) 665-3156

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770618225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WENATCHEE HEIGHTS RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988018921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N WORTHEN ST",
            "address_2": "STE 200",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988016137",
            "telephone_number": "509-665-3156",
            "fax_number": "509-665-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHRE",
        "first_name": "RUTH",
        "middle_name": "MARIE",
        "credential": "MPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0174523",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.