Brent Marchant, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT60741422 Issued in WA

Practice address

565 NW Holly St
Issaquah, WA 98027-2834

Phone

(425) 837-7004

NPI assigned

Apr 10, 2017

Sex

Male

Sole proprietor

No

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1659804359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 73RD DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982708813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 NW HOLLY ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272834",
            "telephone_number": "425-837-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHANT",
        "first_name": "BRENT",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60741422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Ashley Mancuso, PT, DPT
• Randy Brian Mandell
• Christian Paul Manley, D.D.S., M.S.
• Mannat K.Dhillon,DDS , PLLC
• Samantha Marie Maplethorpe, M.D.
• Corina Marcus, DDS
• Margaret Robertson DC, LLC
• Irina Margulis
• Maria Holmes, MD, PLLC
• Derrrek Marin

• All providers in Issaquah, WA
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.