Maryanne Church Trettenero, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

00003619 Issued in WA

Practice address

1010 S 336TH St
210
Federal Way, WA 98003

Phone

(866) 835-8091

Fax

(888) 835-7102

NPI assigned

Apr 10, 2013

Last updated

Apr 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SHC Services Inc.

  • Skilled Nursing Facility
  • Federal Way, WA
  • NPI 1124306725
  NPD (past)
• Supplemental Healthcare

  • Home Health Agency
  • Federal Way, WA
  • NPI 1932487535
  NPD (past)

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1043653959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "address_2": "210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "866-835-8091",
            "fax_number": "888-835-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "address_2": "210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "866-835-8091",
            "fax_number": "888-835-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRETTENERO",
        "first_name": "MARYANNE",
        "middle_name": "CHURCH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "00003619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Minh Khanh Tran, DC
• James Gary Trantham, MD
• Katrina Travis
• Michael David Trebilcock, DC
• Marie Ellen Trenhaile, PA-C
• Irina Triska
• Anna Marie Ocasiones Troncales, MD
• Heidi Christina Trott, ARNP
• Meghan Trudeau, PA-C
• Bao Quoc Truong, RPH

• Physical Rehabilitation Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Rehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.