Children'S Therapy of Puget Sound

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

CHILDREN'S THERAPY OF PUGET SOUND

Practice address

2607 Bridgeport Way W
University Place, WA 98466-4700

Phone

(253) 202-4246

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Marissa Johnson, MOT, OTR/L

Title

Owner/Occupational Therapist

Phone

(253) 202-4246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1154841039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ROCHESTER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984061724",
            "telephone_number": "253-202-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 BRIDGEPORT WAY W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664700",
            "telephone_number": "253-202-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY OF PUGET SOUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "253-202-4246",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Cheesman
• Cheiryl Legaspi LLC
• Cheryl M Yokoyama MD PS
• CHI National Home Care, LLC
• Joe Hernand Chichioco, RN
• Marynda Chipman
• Tan-Yi (Flora) Chiu, RN
• Bonnie L Christiansen Mudge, LMHC
• Meesha Christopher, MA, LMFT
• Karen Teresa Christopherson, RPH

• Pediatric Occupational Therapist in University Place, WA
• Providers in University Place, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.