KAREN A MAYNARD (PT) – Physical Therapist, NPI 1053557462

KAREN A MAYNARD (PT) is a healthcare provider. based in Snohomish, Washington. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT00003154 (WA). The NPI Number for KAREN A MAYNARD (PT) is 1053557462

Main info

Female
44 Years Of Experience
Accepts Medicare Assignment
Name
KAREN A MAYNARD (PT)
NPI
1053557462
Phone
(360) 563-1020
Address
231 Avenue D
Enumeration Date
7 January 2009
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604541900
Graduation Year
1982 (44 years ago)
PAC ID
1153485768
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20090127000267
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for KAREN A MAYNARD (PT)

  • 231 Avenue D

    Snohomish, WA 982902744

    Phone: (360) 563-1020

    Fax: (360) 563-9040

    Type: Location

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (360) 454-1945

    Fax: (360) 454-1991

    Type: Mailing

  • The Smokey Point Clinic, 2901, 174th Street Northeast, Lakewood, Marysville, Snohomish County, Washington, 98271, United States

    MARYSVILLE, WA 982714743

    Phone: (360) 454-1945

    Fax: (360) 454-1991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090127000267IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53863$0
97530Therapy procedure using functional activities10761$0
97161Evaluation for physical therapy, typically 20 minutes6058$0
View full utilization report →

Insurance plans in this area (ZIP 98290)

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Provider's Procedures

KAREN A MAYNARD (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97001Physical therapy evaluation3935
PHYSICAL THERAPYWA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes14135

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

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Frequently asked questions

Can I verify KAREN A MAYNARD (PT) with an NPI only?
You can start verification with NPI 1053557462 for KAREN A MAYNARD (PT), then check state licensing separately.
Is KAREN A MAYNARD (PT) listed as active for patients and plans?
The listing shows KAREN A MAYNARD (PT) as active in the NPI system.
What taxonomy line describes KAREN A MAYNARD (PT)?
For research purposes, treat KAREN A MAYNARD (PT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Does KAREN A MAYNARD (PT) list a practice location?
Patients near Snohomish, Washington may find KAREN A MAYNARD (PT) in results; validate coverage separately.
Is the information about KAREN A MAYNARD (PT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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