Active NPI
Pepper Tomiko Lum-Lung, OTR/L
- Occupational Therapist
- Renton, WA
National Provider Identifier
1568624989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003670
- Practice address
- 4430 Talbot Rd S
Renton, WA 98055-6218 - Phone
- (425) 226-7500
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | OT00003670 | WA | Primary |
Addresses
Primary practice location
4430 Talbot Rd S
Renton, WA 98055-6218
Mailing address
16812 166TH PL SE
Renton, WA 98058-9595
Phone (206) 356-4511
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 |
|---|---|---|---|
| OT00003670 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1568624989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16812 166TH PL SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980589595",
"telephone_number": "206-356-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556218",
"telephone_number": "425-226-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM-LUNG",
"first_name": "PEPPER",
"middle_name": "TOMIKO",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
- Lana Kaye Lueschow, CRNA
- Kevin Man Hin Luk
- Cara L Lukin-Williams, MD
- Sheila R Lukito, PHARM. D.
- Amanda Lukkason
- Luna Healthcare LLC (Luna Family Hearing)
- Luna Healthcare, LLC (Sonus Hearing Care Professionals)
- Luna Healthcare, LLC (Sonus Hearing Care Professionals)
- Daniel Luna Vazquez
- Wuaca K Luna, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.