Individual provider Active NPI

Marce Alene Williams, PHYSICAL THERAPIST A

  • Physical Therapy Assistant
  • Snohomish, WA
National Provider Identifier
1841482023
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
7639 Issued in OR
Practice address
800 10TH St
Snohomish, WA 98290-2131
Phone
(360) 568-3161
NPI assigned
Aug 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7639 OR Primary

Addresses

Primary practice location

800 10TH St
Snohomish, WA 98290-2131

Mailing address

4554 Fuhrer St NE
Salem, OR 97305
Phone (503) 851-3630

Other practice location 1

5210 River Road
Avamere Court
Keizer, OR 97303-4568
Phone (503) 393-3624

Other names 1

  • Mrs. Marce Alene Wright 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7639ORMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1841482023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4554 FUHRER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "97305",
            "telephone_number": "503-851-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 10TH ST",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902131",
            "telephone_number": "360-568-3161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 River Road",
            "address_2": "Avamere Court",
            "address_purpose": "LOCATION",
            "city": "Keizer",
            "state": "OR",
            "postal_code": "973034568",
            "country_code": "US",
            "telephone_number": "503-393-3624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARCE",
        "middle_name": "ALENE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-13",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "7639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCE",
            "last_name": "WRIGHT",
            "middle_name": "ALENE",
            "prefix": "MRS.",
            "credential": "PHYSICAL THERAPIST A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.