Active NPI
Mark Todd Lehner, O.T.
- Occupational Therapist
- Vancouver, WA
National Provider Identifier
1053580480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00001847
- Practice address
- 100 E 33Rd St
Suite 201
Vancouver, WA 98663-2776 - Phone
- (360) 759-7500
- Fax
- (360) 759-1515
- NPI assigned
- Feb 29, 2008
- Sex
- Male
- 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 | OT00001847 | WA | Primary |
Addresses
Primary practice location
100 E 33Rd St
Suite 201
Vancouver, WA 98663-2776
Mailing address
100 E 33Rd St
Suite 201
Vancouver, WA 98663-2776
Phone (360) 759-7500
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 |
|---|---|---|---|
| OT00001847 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | 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.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1053580480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E 33RD ST",
"address_2": "SUITE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632776",
"telephone_number": "360-759-7500",
"fax_number": "360-759-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E 33RD ST",
"address_2": "SUITE 201",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986632776",
"telephone_number": "360-759-7500",
"fax_number": "360-759-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEHNER",
"first_name": "MARK",
"middle_name": "TODD",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-29",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.