Active NPI
Mary Madsen
- Occupational Therapy Assistant
- Leavenworth, WA
National Provider Identifier
1235475278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 00000176
- Practice address
- 940 Highway 2
Unit C
Leavenworth, WA 98826-1479 - Phone
- (509) 699-0214
- NPI assigned
- Dec 19, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 00000176 | WA | Primary |
Addresses
Primary practice location
940 Highway 2
Unit C
Leavenworth, WA 98826-1479
Mailing address
940 Highway 2
Unit C
Leavenworth, WA 98826-1479
Phone (509) 699-0214
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 |
|---|---|---|---|
| 00000176 | WA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1235475278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 HIGHWAY 2",
"address_2": "UNIT C",
"city": "LEAVENWORTH",
"state": "WA",
"postal_code": "988261479",
"telephone_number": "509-699-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 HIGHWAY 2",
"address_2": "UNIT C",
"city": "LEAVENWORTH",
"state": "WA",
"postal_code": "988261479",
"telephone_number": "509-699-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-19",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "00000176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.