Maple Valley Physical Therapy, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5147 Issued in WA

Legal business name

MAPLE VALLEY PHYSICAL THERAPY, INC.

Practice address

23870 SE Kent Kangley Rd
Maple Valley, WA 98038-6848

Phone

(425) 432-1671

Fax

(425) 432-1677

NPI assigned

Dec 12, 2007

Last updated

Apr 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Clifford John Richards, PTNPI 1235149337

Title

Owner

Phone

(425) 432-1671

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clifford John Richards, PT

  • Physical Therapist
  • Maple Valley, WA
  • NPI 1235149337
  Authorized official Same address or phone
• Todd Lee Partain, DC

  • Chiropractor
  • Maple Valley, WA
  • NPI 1881705002
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1790968766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22443 SE 240 ST",
            "address_2": "SUITE 201",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-432-1671",
            "fax_number": "425-432-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23870 SE KENT KANGLEY RD",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386848",
            "telephone_number": "425-432-1671",
            "fax_number": "425-432-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE VALLEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-432-1671",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "5147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "609471200",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0165RI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0191071",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "5147",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00279139",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maple Valley Chiropractic PLLC (Spinacare Chiropractic & Massage)
• Maple Valley Dentistry Professionals
• Maple Valley Eye Care Center PS
• Maple Valley Hearing AIDS LLC
• Maple Valley Movement Neurology, PLLC
• Maple Valley Vision Clinic PLLC (Maple Valley Vision Clinic)
• George M. Marchis, D.P.T.
• Shannon Lynn Markegard, DO
• Brenda Martinez
• Haifa M Marzouqa, PHARMACIST

• Specialist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.