Active NPI
Maryann Joy Zmuda
- Occupational Therapist
- Palmer, AK
National Provider Identifier
1548874340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 191341
- Practice address
- 501 N Gulkana St
Palmer, AK 99645-6147 - Phone
- (907) 715-2475
- NPI assigned
- Aug 31, 2020
- 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 | 191341 | AK | Primary |
Addresses
Primary practice location
501 N Gulkana St
Palmer, AK 99645-6147
Mailing address
20015 Highland Ridge Dr
Eagle River, AK 99577-8849
Phone (907) 715-2475
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 |
|---|---|---|---|
| 61049098 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1548874340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20015 HIGHLAND RIDGE DR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778849",
"telephone_number": "907-715-2475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N GULKANA ST",
"city": "PALMER",
"state": "AK",
"postal_code": "996456147",
"telephone_number": "907-715-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZMUDA",
"first_name": "MARYANN",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-31",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "191341",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.