Individual provider Active NPI

Teresa Majesky

  • Physical Therapist
  • Granite Falls, WA
National Provider Identifier
1861782682
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00003203 Issued in WA
Practice address
403 W Stanley St
Granite Falls, WA 98252-8631
Phone
(360) 691-4835
Fax
(360) 691-2545
NPI assigned
Apr 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 PT00003203 WA Primary

Addresses

Primary practice location

403 W Stanley St
Granite Falls, WA 98252-8631

Mailing address

4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 357-9380

Other identifiers 4

IdentifierTypeStateIssuer
0278360OtherWAL&I
0278304OtherWAL&I
0278307OtherWAL&I
0278365OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000287 WA Practitioner - Physical Therapist in Private Practice 9133306889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

403 W Stanley St
Granite Falls, WA 98252-8631
Phone (360) 691-4835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Apr 14, 2011 Accepting new patients
Snohomish Physical Therapy PLLC Physical Therapist CurrentSince Apr 14, 2011 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 14, 2011 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Apr 14, 2011 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC Physical Therapist CurrentSince Apr 14, 2011 Accepting new patients
Everett Physical Therapy and Sport Performance Center PLLC CurrentSince Apr 14, 2011 Accepting new patients

Locations

1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052

875 Wesley St
Ste 220
Arlington, WA 98223
Phone (425) 337-3166

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034

1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774

Organizations & group practices 6

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1861782682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 132ND ST SE",
            "address_2": "SUITE 101",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980128999",
            "telephone_number": "425-357-9380",
            "fax_number": "425-357-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W STANLEY ST",
            "city": "GRANITE FALLS",
            "state": "WA",
            "postal_code": "982528631",
            "telephone_number": "360-691-4835",
            "fax_number": "360-691-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJESKY",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-13",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0278360",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0278304",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0278307",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0278365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.