Active NPI
Melanie Refuerzo, OTR/L
- Occupational Therapist
- Gig Harbor, WA
National Provider Identifier
1508343369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60183976
- Practice address
- 11511 Canterwood Blvd NW
Gig Harbor, WA 98332-5813 - Phone
- (253) 530-2682
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
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 | OT60183976 | WA | Primary |
Addresses
Primary practice location
11511 Canterwood Blvd NW
Gig Harbor, WA 98332-5813
Mailing address
6895 Aegean Blvd NE
Bremerton, WA 98311-9593
Phone (253) 507-3031
Other practice location 1
2051 Pottery Ave
Port Orchard, WA 98366-2010
Phone (360) 876-4461
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 |
|---|---|---|---|
| OT60183976 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1508343369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6895 AEGEAN BLVD NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983119593",
"telephone_number": "253-507-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11511 CANTERWOOD BLVD NW",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983325813",
"telephone_number": "253-530-2682"
}
],
"practiceLocations": [
{
"address_1": "2051 Pottery Ave",
"address_purpose": "LOCATION",
"city": "Port Orchard",
"state": "WA",
"postal_code": "983662010",
"country_code": "US",
"telephone_number": "360-876-4461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REFUERZO",
"first_name": "MELANIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60183976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.