Active NPI
Corynne L Sperry
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1720639073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC60964599
- Practice address
- 10324 Canyon Rd E Ste 203
Puyallup, WA 98373-1013 - Phone
- (253) 471-2727
- Fax
- (253) 471-2730
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC60964599 | WA | |
| Occupational Therapist | 225X00000X | OC60964599 | WA | Primary |
Addresses
Primary practice location
10324 Canyon Rd E Ste 203
Puyallup, WA 98373-1013
Mailing address
10324 Canyon Rd E Ste 203
Puyallup, WA 98373-1013
Phone (253) 471-2727
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 |
|---|---|---|---|
| OC60964599 | WA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Step Ahead in Pierce County | Pediatrics | Past | Accepting new patients |
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": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1720639073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10324 CANYON RD E STE 203",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731013",
"telephone_number": "253-471-2727",
"fax_number": "253-471-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10324 CANYON RD E STE 203",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983731013",
"telephone_number": "253-471-2727",
"fax_number": "253-471-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "CORYNNE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OC60964599",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OC60964599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.