Jared McConahy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60367963 Issued in WA

Practice address

24060 SE Kent Kangley Rd
Suite D100
Maple Valley, WA 98038-6801

Phone

(425) 433-0123

Fax

(425) 433-0733

NPI assigned

Aug 6, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Aspire Physical Therapy LLC

  • Physical Therapist
  • Enumclaw, WA
  • NPI 1679818801
  Medicare reassignment NPD

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1871925420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24060 SE KENT KANGLEY RD",
            "address_2": "SUITE D100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386801",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24060 SE KENT KANGLEY RD",
            "address_2": "SUITE D100",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980386801",
            "telephone_number": "425-433-0123",
            "fax_number": "425-433-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONAHY",
        "first_name": "JARED",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60367963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Renee May Roman
• Thomas Maynard
• Valerie Jill Mazziotti, PAC
• Jessica Angelina McAbee, MD
• Robin McCarthy
• Shannon McCue, LSWAIC SC61400346
• Jill Ann McDaniel, COTA/L
• Tatiana Ladonne McDaniel
• Denise L McEniry, LMP
• Kylee McGuire, LMT

• Physical Therapist in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.