Active NPI
Mary Gengler Fuhr, OTRL
- Occupational Therapist
- Maple Valley, WA
National Provider Identifier
1295851210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000646
- Practice address
- 22443 SE 240TH St
Suite 206
Maple Valley, WA 98038-5898 - Phone
- (425) 358-3070
- NPI assigned
- Mar 21, 2007
- 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 Therapist | 225X00000X | OT00000646 | WA | Primary |
Addresses
Primary practice location
22443 SE 240TH St
Suite 206
Maple Valley, WA 98038-5898
Mailing address
16122 SE 266TH St
Covington, WA 98042-8218
Phone (206) 612-6201
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 |
|---|---|---|---|
| OT00000646 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relaxing Resources | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Maple Valley Pediatric Therapy
- Pediatric Occupational Therapist
- Maple Valley, WA
- NPI 1477035368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1295851210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16122 SE 266TH ST",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980428218",
"telephone_number": "206-612-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22443 SE 240TH ST",
"address_2": "SUITE 206",
"city": "MAPLE VALLEY",
"state": "WA",
"postal_code": "980385898",
"telephone_number": "425-358-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUHR",
"first_name": "MARY",
"middle_name": "GENGLER",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.