Mary Ellen Anton, PT ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00010783 Issued in WA

Practice address

6415 N Monroe St
Spokane, WA 99208-4121

Phone

(509) 327-4867

Fax

(509) 327-0542

NPI assigned

Jan 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Ellen Fedor Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bandb Physical Therapy IncGroup PAC ID 6103810346, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• B&B Physical Therapy Inc

  • Physical Therapist
  • Spokane, WA
  • NPI 1588778823
  Medicare reassignment Care Compare group NPD
• Midwest Physical Therapy, PC

  • Physical Therapist
  • Coralville, IA
  • NPI 1104805977
  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1861471625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 N MONROE ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084121",
            "telephone_number": "509-327-4867",
            "fax_number": "509-327-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTON",
        "first_name": "MARY ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PT ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00010783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8507261",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY ELLEN",
            "last_name": "FEDOR",
            "credential": "PT ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eunice D Anthony, LMHC
• Stephen Patrick Anthony, D.O.
• Ariana Marie Antles, BS
• Julie Anton, LMHCA
• Kimberly Jean Anton, PHARM.D.
• Antonia Tombari and Associates PLLC (Antonia Tombari)
• Lillian O Antonietti
• Kristine Anttila, LICSW
• Jenna Marie Anway
• Anya Consiglio MD, PS

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.