Individual provider Active NPI

Mariah Dee Ireland

  • Physical Therapist
  • Federal Way, WA
National Provider Identifier
1952146573
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.61564401 Issued in WA
Practice address
1300 S 320TH St Ste B
Federal Way, WA 98003-5359
Phone
(253) 839-2727
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PTIP.PU.61564402 WA
Physical Therapist 225100000X PT.61564401 WA Primary

Addresses

Primary practice location

1300 S 320TH St Ste B
Federal Way, WA 98003-5359

Mailing address

209 12TH Ave S Unit A209
Seattle, WA 98144-2990
Phone (574) 870-7632

Other practice location 1

2624 S 38th St Ste C
Tacoma, WA 98409-7308
Phone (253) 475-5908

Other practice location 2

4320 196th St SW Ste A
Lynnwood, WA 98036-6753
Phone (425) 967-0051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT.61564401WAMDPhysical Therapist
PTIP.PU.61564402WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of Washington, P.S. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1952146573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 12TH AVE S UNIT A209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442990",
            "telephone_number": "574-870-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 320TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035359",
            "telephone_number": "253-839-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 S 38th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984097308",
            "country_code": "US",
            "telephone_number": "253-475-5908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 196th St SW Ste A",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366753",
            "country_code": "US",
            "telephone_number": "425-967-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "MARIAH",
        "middle_name": "DEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "PTIP.PU.61564402",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.61564401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.