Individual provider Active NPI

Michelle M.F. McMullen, O.T.

  • Hand Occupational Therapist
  • Kent, WA
National Provider Identifier
1588600274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00003213 Issued in WA
Practice address
8009 S 180TH St
Suite 112
Kent, WA 98032-1042
Phone
(425) 226-7827
Fax
(425) 251-5757
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT00003213 WA Primary

Addresses

Primary practice location

8009 S 180TH St
Suite 112
Kent, WA 98032-1042

Mailing address

720 Olive Way
Suite 1505
Seattle, WA 98101-1878
Phone (206) 838-2590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091113000540 WA Practitioner - Occupational Therapist in Private Practice 9537207352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26837 Maple Valley Black Diamond Rd
Suite 200
Maple Valley, WA 98038-9917
Phone (425) 413-4425

26837 Maple Valley Black Diamond Rd SE
Suite 200
Maple Valley, WA 98038-9917

8009 S 180TH St
Suite 112
Kent, WA 98032-1042
Phone (425) 226-7827

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC CurrentSince Sep 16, 2009 Accepting new patients
Outpatient Physical Therapy & Sports Rehabilitation Inc PC Past Accepting new patients

Locations

27005 168th Pl SE
Ste 200
Covington, WA 98042
Phone (253) 639-4788

8009 S 180th St
Ste 112
Kent, WA 98032
Phone (253) 833-8766

26837 Maple Valley Black Diamond Rd SE
Ste 200
Maple Valley, WA 98038
Phone (425) 413-4425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588600274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 OLIVE WAY",
            "address_2": "SUITE 1505",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011878",
            "telephone_number": "206-838-2590",
            "fax_number": "206-264-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 S 180TH ST",
            "address_2": "SUITE 112",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321042",
            "telephone_number": "425-226-7827",
            "fax_number": "425-251-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "MICHELLE",
        "middle_name": "M.F.",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.