NPIMap

Organization Active NPI

Mti Physical Therapy Magnolia

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1871711051
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MTI PHYSICAL THERAPY MAGNOLIA
Practice address
3200 W McGraw St
Seattle, WA 98199-3208
Phone
(206) 281-7970
NPI assigned
Apr 23, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Dave Self, PT
Title
PT Clinic Director
Phone
(206) 281-7970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA Primary

Addresses

Primary practice location

3200 W McGraw St
Seattle, WA 98199-3208

Mailing address

3200 W McGraw St
Seattle, WA 98199-3208

National Provider Directory

National Provider Directory
Tax ID family
Manual Therapy International PS PLLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3200 W McGraw St
Seattle, WA 98199
Phone (206) 281-7970

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871711051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 W MCGRAW ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993208",
            "telephone_number": "206-281-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTI PHYSICAL THERAPY MAGNOLIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELF",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PT CLINIC DIRECTOR",
        "authorized_official_telephone_number": "206-281-7970",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.