Individual provider Active NPI

Marie Kylee Manon Seto-Herr, DPT

  • Physical Therapist
  • Walla Walla, WA
National Provider Identifier
1962195586
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT.PT.70102748 Issued in WA
Practice address
534 Boyer Ave
Walla Walla, WA 99362-2047
Phone
(509) 525-6463
NPI assigned
May 30, 2023
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT.PT.70102748 WA Primary
Physical Therapist 225100000X 64969 OR

Addresses

Primary practice location

534 Boyer Ave
Walla Walla, WA 99362-2047

Mailing address

4560 SE International Way Ste 100
Portland, OR 97222-4628

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817003201 OR Practitioner - Physical Therapist in Private Practice 3577925833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64969ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Motion Physical Therapy, Inc. Physical Therapist CurrentSince Jul 19, 2023 Accepting new patients
Pediatric Therapy Services Inc PastSince Jun 4, 2023 Accepting new patients

Locations

732 Main St
Philomath, OR 97370
Phone (541) 929-2255

Organizations & group practices 2

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1962195586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 SE INTERNATIONAL WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972224628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 BOYER AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622047",
            "telephone_number": "509-525-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETO-HERR",
        "first_name": "MARIE KYLEE",
        "middle_name": "MANON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT.PT.70102748",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "64969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.