Susan Mazzaferro-Knowles, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005338 Issued in WA

Practice address

3005 Alderwood Mall Pkwy
Ste 100
Lynnwood, WA 98036-6921

Phone

(206) 979-1413

Fax

(425) 771-2425

NPI assigned

May 27, 2006

Last updated

Mar 26, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Movement Physical Therapy, LLC

  • Physical Therapist
  • Lynnwood, WA
  • NPI 1346684792
  Medicare reassignment NPD Authorized official
• Cascade Rehabilitation Associates, PLLC

  dba Cascade Rehabilitation

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617

  Physical Therapist

  NPD (past)
• Movement Systems Physical Therapy, P.S.

  • Physical Therapist
  • Seattle, WA
  • NPI 1659324051
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1881641942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ALDERWOOD MALL PKWY",
            "address_2": "STE 100",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366921",
            "telephone_number": "206-979-1413",
            "fax_number": "425-771-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 ALDERWOOD MALL PKWY",
            "address_2": "STE 100",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366921",
            "telephone_number": "206-979-1413",
            "fax_number": "425-771-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZAFERRO-KNOWLES",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Matulionis
• Deeanna K. Maughan, M.D.
• Jennifer Lynn May, R.N.
• Mark Donald Mayhle, MD
• Marina Maytak
• Fauzia K Mbecah
• Irene Wanjiru Mbugua
• Jessica McAllister, ARNP
• Scott McAndrews, LMP
• Megan Marcella McArthur, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.