Active NPI
Mono Nhean, OT
- Occupational Therapist
- Everett, WA
National Provider Identifier
1073847240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60022741
- Practice address
- 1100 Pacific Ave
Suite 201
Everett, WA 98201-4261 - Phone
- (425) 374-2846
- Fax
- (425) 374-3272
- NPI assigned
- Sep 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | OT60022741 | WA | Primary |
Addresses
Primary practice location
1100 Pacific Ave
Suite 201
Everett, WA 98201-4261
Mailing address
1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0254621 | Other | WA | L&I |
| 0001NH | Other | WA | REGENCE |
| 0002NH | Other | WA | REGENCE |
| 1073847240 | Other | WA | DSHS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60022741 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | 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.
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1073847240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 132ND ST SE",
"address_2": "SUITE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982087203",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 PACIFIC AVE",
"address_2": "SUITE 201",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014261",
"telephone_number": "425-374-2846",
"fax_number": "425-374-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NHEAN",
"first_name": "MONO",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-21",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60022741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0254621",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0001NH",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "0002NH",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "1073847240",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.