Active NPI
Lynne D. Wolf, OTR/L,CHT,CVE
- Hand Occupational Therapist
- Burien, WA
National Provider Identifier
1104889807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00001244
- Practice address
- 275 SW 160TH St
Ste. 201
Burien, WA 98166-3003 - Phone
- (206) 244-4263
- Fax
- (206) 244-8703
- NPI assigned
- Apr 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001244 | WA | |
| Hand Occupational Therapist | 225XH1200X | OT00001244 | WA | Primary |
Addresses
Primary practice location
275 SW 160TH St
Ste. 201
Burien, WA 98166-3003
Mailing address
275 SW 160TH St
Ste. 201
Burien, WA 98166-3003
Phone (206) 244-4263
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031574 | Other | WA | DEPT. OF LABOR&INDUSTRIES |
| A002 | Other | WA | TRICARE |
| 8339897 | Medicaid | WA | |
| WO3525 | Other | WA | REGENCE |
| 8931812 | Other | WA | CRIME VICTUMS |
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 |
|---|---|---|---|
| OT00001244 | WA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | 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.
-
- Hand Occupational Therapist
- Burien, WA
- NPI 1053979781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1104889807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SW 160TH ST",
"address_2": "STE. 201",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663003",
"telephone_number": "206-244-4263",
"fax_number": "206-244-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 SW 160TH ST",
"address_2": "STE. 201",
"city": "BURIEN",
"state": "WA",
"postal_code": "981663003",
"telephone_number": "206-244-4263",
"fax_number": "206-244-8703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "LYNNE",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "OTR/L,CHT,CVE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001244",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00001244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR&INDUSTRIES",
"identifier": "0031574",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8339897",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "WO3525",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTUMS",
"identifier": "8931812",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.