Tami Lynne Furgerson, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61200001 Issued in WA

Practice address

11104 NE 149TH St
Brush Prairie, WA 98606-9565

Phone

(360) 855-5300

NPI assigned

Oct 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1013671908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12914 NE 13TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986853156",
            "telephone_number": "623-694-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 NE 149TH ST",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069565",
            "telephone_number": "360-855-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURGERSON",
        "first_name": "TAMI",
        "middle_name": "LYNNE",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "9472",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61200001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Crystal Edison OD & Associates PLLC
• Miesha Jo Ebacher, CCC-SLP
• Crystal Marie Edison, O.D.
• Sarah Ervin, MSCN
• Margo E Faron, OTR/L
• Caitlin Patricia Gallup, MA, CCC-SLP
• Regina Gamage, M.S. LMHC
• Christopher Garrett, DOT
• Rachel Gathright, DOULA
• Glacier Therapies Online

• Occupational Therapist in Brush Prairie, WA
• Providers in Brush Prairie, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.