Individual provider Active NPI

Marianne Hevly Norden, OTR

  • Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1003869132
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00001604 Issued in WA
Practice address
309 S G St Ste 4
Tacoma, WA 98405-4758
Phone
(253) 465-3111
Fax
(253) 465-3112
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT00001604 WA
Occupational Therapist 225X00000X OT00001604 WA Primary

Addresses

Primary practice location

309 S G St Ste 4
Tacoma, WA 98405-4758

Mailing address

PO Box 7235
Tacoma, WA 98417-0235
Phone (253) 579-6339

Other practice location 1

1818 S Union Ave
St 1B
Tacoma, WA 98405-1953
Phone (253) 579-6339

Other names 1

  • Marianne Hevly Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 7235
Tacoma, WA 98417

PO Box
Suite 7235
Tacoma, WA 98417-0235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00001604WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Sports and Spine Rehabilitation PS Occupational Therapist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1003869132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7235",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984170235",
            "telephone_number": "253-579-6339",
            "fax_number": "253-465-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S G ST STE 4",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054758",
            "telephone_number": "253-465-3111",
            "fax_number": "253-465-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 S Union Ave",
            "address_2": "St 1B",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051953",
            "country_code": "US",
            "telephone_number": "253-579-6339",
            "fax_number": "253-627-7014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDEN",
        "first_name": "MARIANNE",
        "middle_name": "HEVLY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00001604",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "HEVLY",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.