Active NPI
Pioneer Therapy Center PLLC
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1164787685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000593
- Legal business name
- PIONEER THERAPY CENTER PLLC
- Practice address
- 324 E Pioneer
Puyallup, WA 98372-3264 - Phone
- (253) 377-6285
- Fax
- (253) 693-2016
- NPI assigned
- Jul 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Witters, OT
- Title
- President / OT Therapist
- Phone
- (253) 377-6285
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00000593 | WA | Primary |
Addresses
Primary practice location
324 E Pioneer
Puyallup, WA 98372-3264
Mailing address
324 E Pioneer
Puyallup, WA 98372-3264
Phone (253) 377-6285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 256084 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
211 5th St SE
Puyallup, WA 98372
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Puyallup, WA
- NPI 1326372707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433289600000",
"number": "1164787685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 E PIONEER",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723264",
"telephone_number": "253-377-6285",
"fax_number": "253-693-2016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 E PIONEER",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723264",
"telephone_number": "253-377-6285",
"fax_number": "253-693-2016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER THERAPY CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-10",
"last_updated": "2015-06-03",
"status": "A",
"authorized_official_last_name": "WITTERS",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "PRESIDENT / OT THERAPIST",
"authorized_official_telephone_number": "253-377-6285",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "256084",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.