Individual provider Active NPI

Fan-Pei Kung, OTD, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1659678704
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60520867 Issued in WA
Practice address
14150 NE 20TH St # F1-147
Bellevue, WA 98007-3700
Phone
(530) 378-3118
NPI assigned
Feb 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 9387 MA
Occupational Therapist 225X00000X OT60520867 WA Primary
Occupational Therapist 225X00000X 9387 MA

Addresses

Primary practice location

14150 NE 20TH St # F1-147
Bellevue, WA 98007-3700

Mailing address

14150 NE 20TH St # F1-147
Bellevue, WA 98007-3700

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

LicenseStateTypeSpecialty
OT60520867WAMDOccupational Therapist
9387MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home & Pei Parenting, LLC Pediatrics CurrentSince May 7, 2023 Accepting new patients

Locations

14150 NE 20th St
#F1147
Bellevue, WA 98007
Phone (530) 378-3118

Organizations & group practices 1

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": "1298505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1659678704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-147",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST # F1-147",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "530-378-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNG",
        "first_name": "FAN-PEI",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-24",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "9387",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60520867",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9387",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.