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1700649142 NPI number — MANDY MACSKIMMING PT

NPI Number: 1700649142
Health Care Provider/Practitioner: MANDY MACSKIMMING PT

Information about “1700649142” NPI (MANDY MACSKIMMING PT) exists in 1700649142 in HTML format HTML  |  1700649142 in plain Text format TXT  |  1700649142 in PDF (Portable Document Format) PDF  |  1700649142 in an XML format XML  formats.

NPI Number : 1700649142 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700649142",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MACSKIMMING",
    "FirstName": "MANDY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "STANISLOVAITIS",
    "OtherFirstName": "AMANDA",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "4040 26TH AVE SW APT 111",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98106-1267",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "513-504-4716",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "16251 SYLVESTER RD SW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURIEN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98166-3017",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "206-248-4639",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/30/2024",
    "LastUpdateDate": "09/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT61503221",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT018625",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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