Individual provider Active NPI

Mary Margaret Winter, OT

  • Occupational Therapist
  • Longview, WA
National Provider Identifier
1528699600
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61033253 Issued in WA
Practice address
200 Triangle Center #270
Longview, WA 98632
Phone
(360) 501-3750
Fax
(360) 501-3755
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61033253 WA Primary

Addresses

Primary practice location

200 Triangle Center #270
Longview, WA 98632

Mailing address

1912 W Kiernan Ave
Spokane, WA 99205-2553
Phone (509) 348-2409

Other practice location 1

123 W Cascade Way
Spokane, WA 99208-6017
Phone (509) 624-3115

Other practice location 2

59 E Queen Ave Ste 212
Spokane, WA 99207-1404
Phone (509) 348-2409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107004459 WA Practitioner - Occupational Therapist in Private Practice 2163912064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12914 NE 37TH St
Vancouver, WA 98682-7626

200 Triangle Ctr
Suite 270
Longview, WA 98632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61033253WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Dec 1, 2025 Accepting new patients
Envision Therapies CurrentSince Jul 1, 2023 Accepting new patients
Peacehealth Occupational Therapist Past Accepting new patients
Milestones Speech and Lauguage Services PastSince Feb 1, 2020 Accepting new patients

Locations

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

59 E Queen Ave
Ste 212
Spokane, WA 99207
Phone (509) 348-2409

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1528699600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 W KIERNAN AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052553",
            "telephone_number": "509-348-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRIANGLE CENTER #270",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "98632",
            "telephone_number": "360-501-3750",
            "fax_number": "360-501-3755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Cascade Way",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992086017",
            "country_code": "US",
            "telephone_number": "509-624-3115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 E Queen Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071404",
            "country_code": "US",
            "telephone_number": "509-348-2409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTER",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61033253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.

Verify at the official NPI Registry.