Active NPI
Molly Corwin
- Occupational Therapist
- Lynnwood, WA
National Provider Identifier
1225896129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61533026
- Practice address
- 20420 68TH Ave W
Lynnwood, WA 98036-7400 - Phone
- (425) 431-7047
- Fax
- (425) 431-7182
- NPI assigned
- Mar 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT61533026 | VA | Primary |
Addresses
Primary practice location
20420 68TH Ave W
Lynnwood, WA 98036-7400
Mailing address
4500 Phinney Ave N Apt 8
Seattle, WA 98103-6362
Phone (425) 387-6222
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT61533026 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1225896129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PHINNEY AVE N APT 8",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036362",
"telephone_number": "425-387-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20420 68TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980367400",
"telephone_number": "425-431-7047",
"fax_number": "425-431-7182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORWIN",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-06",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "OT61533026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.