Molly Claire Peterson, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60880652 Issued in WA

Practice address

32607 47TH Ave SW
Federal Way, WA 98023

Phone

(336) 504-3604

NPI assigned

Sep 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Molly Claire Brewer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1164931648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25722 SE TIGER MOUNTAIN RD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278357",
            "telephone_number": "336-504-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32607 47TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "336-504-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 NW Cary Pkwy",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275604600",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 Village Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Siler City",
            "state": "NC",
            "postal_code": "273441820",
            "country_code": "US",
            "telephone_number": "919-663-2788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "MOLLY",
        "middle_name": "CLAIRE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60880652",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "BREWER",
            "middle_name": "CLAIRE",
            "prefix": "MISS",
            "credential": "MS, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jo Ann Peter, PT
• Sarah J Peters, LMP
• Marc G Petersen, LMP
• Amber N Peterson, PSYD, LP
• Michele Jennefer Peterson, L.M.P.
• Shon Peterson
• Eileen Gwendolyn Petrie, CDPT
• Todd Petrowski
• Hanna Kirsti Petry, CNM
• Pettibon Chiropractic Clinic of Federal Way Inc.

• Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.