Active NPI
Melissa Pagayunan, MS, OTR/L
- Occupational Therapist
- Marysville, WA
National Provider Identifier
1467977520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60926471
- Practice address
- 5925 47TH Ave NE
Marysville, WA 98270-5152 - Phone
- (360) 659-1259
- NPI assigned
- Aug 10, 2017
- Last updated
- Feb 8, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 348923 | TX | |
| Occupational Therapist | 225X00000X | 117233 | TX | |
| Occupational Therapist | 225X00000X | OT60926471 | WA | Primary |
Addresses
Primary practice location
5925 47TH Ave NE
Marysville, WA 98270-5152
Mailing address
4560 SE International Way Ste 100
Milwaukie, OR 97222-4628
Other practice location 1
17480 Dallas Pkwy Ste 221
Dallas, TX 75287-7361
Phone (469) 291-8500
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117233 | TX | MD | Occupational Therapist |
| 348923 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1467977520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972224628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 47TH AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982705152",
"telephone_number": "360-659-1259"
}
],
"practiceLocations": [
{
"address_1": "17480 Dallas Pkwy Ste 221",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752877361",
"country_code": "US",
"telephone_number": "469-291-8500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAGAYUNAN",
"first_name": "MELISSA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "348923",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "117233",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60926471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.