Active NPI
Marina Picinich
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1558908202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00001390
- Practice address
- 8011 112TH Street CT E
Puyallup, WA 98373-7814 - Phone
- (253) 848-0662
- NPI assigned
- Dec 2, 2019
- 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 | 00001390 | WA | Primary |
Addresses
Primary practice location
8011 112TH Street CT E
Puyallup, WA 98373-7814
Mailing address
8703 146TH Street CT E
Puyallup, WA 98375-6976
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00001390 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1558908202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8703 146TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8011 112TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983737814",
"telephone_number": "253-848-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICINICH",
"first_name": "MARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00001390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.