Individual provider Active NPI

Nita Fulwiler, COTA L/R

  • Occupational Therapy Assistant
  • Renton, WA
National Provider Identifier
1568603587
Registry record updated Mar 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
80 SW 2ND St
Renton, WA 98057-5937
Phone
(425) 226-4610
NPI assigned
Mar 21, 2009
Last updated
Mar 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Primary

Addresses

Primary practice location

80 SW 2ND St
Renton, WA 98057-5937

Mailing address

80 SW 2ND St
Renton, WA 98057-5937
Phone (425) 226-4610

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

NPI Registry JSON

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

{
    "created_epoch": "1237593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237593600000",
    "number": "1568603587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575937",
            "telephone_number": "425-226-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SW 2ND ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575937",
            "telephone_number": "425-226-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULWILER",
        "first_name": "NITA",
        "credential": "COTA L/R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.