Elizabeth Marguerite Munk, MOT OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003709 Issued in WA

Practice address

35535 6TH Place SW
Federal Way, WA 98023

Phone

(253) 874-5445

Fax

(253) 874-0687

NPI assigned

Dec 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Birth to Three Developmental Center

  • Physical Therapy Clinic/Center
  • Federal Way, WA
  • NPI 1609936624
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740340769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24269",
            "address_2": "BIRTH TO THREE DEVELOPMENT CENTER",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980931269",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35535 6TH PLACE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNK",
        "first_name": "ELIZABETH",
        "middle_name": "MARGUERITE",
        "name_prefix": "Miss",
        "credential": "MOT OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "3799MU",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8367682",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Multi-Service Center
• Multicare Health System (Pediatrics Northwest by Mary Bridge Children's)
• Multicare Health System
• Carmenlyn Muna
• Lucy Mundia
• Cristy June Munoz, CDP
• Joy Wambui Muriithi, LPN
• Christopher Murillo, RN00111160
• Rachel A Murphy
• William G Murray III, PA-C

• Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapist in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.