Mollie Buelow

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5319 Issued in MT

Practice address

2929 S Waterford Dr
Spokane, WA 99203-4400

Phone

(509) 960-2324

NPI assigned

Oct 17, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1275044208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 COMPASS RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268001",
            "telephone_number": "877-787-3430",
            "fax_number": "847-441-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 S WATERFORD DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992034400",
            "telephone_number": "509-960-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELOW",
        "first_name": "MOLLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60822643",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "5319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA LICENSE",
            "identifier": "OC60822643",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua David Budik
• Blake Andrew Budke
• Judy Lynn Budrow
• Amanda L Budsberg, MA CCC-SLP
• Katelynne Buechner, CCC-SLP
• Mark Jerome Buescher, PA-C
• Carolina Aurora Bufford
• Charlie Frank Bufford III
• Hung T Bui
• Matthew Gerrit Buletti, CP

• Occupational Therapy Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.