Shuk-Fun Connie Mar, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61506166 Issued in WA

Practice address

12877 SE 75TH Rd
Newcastle, WA 98056-5005

Phone

(206) 822-0158

NPI assigned

Mar 4, 2024

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1598522823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12877 SE 75TH RD",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980565005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12877 SE 75TH RD",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980565005",
            "telephone_number": "206-822-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "SHUK-FUN",
        "middle_name": "CONNIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61506166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lin, PT
• Emily Hoberg Liskey, PT
• Katherine Anne Lorenz, DPT
• Geoffrey Macpherson, MD
• Heather Elizabeth Magoon, RN
• Leticia Ayala Maragh, ML
• Elaine Mark
• Tami Mason, LMP
• Mateo Employment Services LLC
• Melinda A. Maxwell, D.C.

• Occupational Therapist in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.