Active NPI
Lisa Elaine Wire
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1578722203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00001392
- Practice address
- 6220 S Alaska St
Tacoma, WA 98408-1317 - Phone
- (253) 476-5300
- NPI assigned
- Jun 6, 2008
- 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 | 00001392 | WA | Primary |
Addresses
Primary practice location
6220 S Alaska St
Tacoma, WA 98408-1317
Mailing address
18508 65TH St E
Bonney Lake, WA 98391-8826
Phone (253) 863-5333
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 |
|---|---|---|---|
| 00001392 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212710400000",
"number": "1578722203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18508 65TH ST E",
"city": "BONNEY LAKE",
"state": "WA",
"postal_code": "983918826",
"telephone_number": "253-863-5333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 S ALASKA ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081317",
"telephone_number": "253-476-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIRE",
"first_name": "LISA",
"middle_name": "ELAINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2008-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00001392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.