Active NPI
Cassandra Merritt
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1033533849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC 60337420
- Practice address
- 2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782 - Phone
- (253) 447-8216
- Fax
- (253) 447-8789
- NPI assigned
- Feb 13, 2014
- Last updated
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC 60337420 | WA | Primary |
Addresses
Primary practice location
2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782
Mailing address
PO Box 776
Sumner, WA 98390-0130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC 60337420 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids at Play Therapy, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sumner, WA
- NPI 1770819385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1033533849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776",
"city": "SUMNER",
"state": "WA",
"postal_code": "983900130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 5TH AVE NE STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983726782",
"telephone_number": "253-447-8216",
"fax_number": "253-447-8789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OC 60337420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.