Active NPI
Michael A Busch, OT
- Occupational Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60632584
- Practice address
- 1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740 - Phone
- (425) 999-3580
- Fax
- (425) 999-3122
- NPI assigned
- Mar 18, 2016
- Last updated
- Jan 26, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 60632584 | WA | Primary |
| Hand Occupational Therapist | 225XH1200X | OT60632584 | WA |
Addresses
Primary practice location
1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740
Mailing address
7683 SE 27TH St Ste 254
Mercer Island, WA 98040-2804
Phone (425) 999-3580
Other practice location 1
32030 23rd Ave S
Federal Way, WA 98003-6031
Phone (253) 946-4852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16222 Meridian E
Suite 101
Puyallup, WA 98375-6332
Phone (253) 864-7595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 60632584 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Occupational Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Occupational Therapist | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
16222 Meridian E
Ste 101
Puyallup, WA 98375
Phone (253) 846-7595
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Bellevue Hand Surgery
- Orthopaedic Surgery Physician
- Bellevue, WA
- NPI 1174036826
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1376904318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7683 SE 27TH ST STE 254",
"city": "MERCER ISLAND",
"state": "WA",
"postal_code": "980402804",
"telephone_number": "425-999-3580",
"fax_number": "425-999-3122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 112TH AVE NE STE C210",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043740",
"telephone_number": "425-999-3580",
"fax_number": "425-999-3122"
}
],
"practiceLocations": [
{
"address_1": "32030 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980036031",
"country_code": "US",
"telephone_number": "253-946-4852",
"fax_number": "253-946-4862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSCH",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-18",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60632584",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT60632584",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.