Individual provider Active NPI

Erin Anne Tully Treiber, OTR/L

  • Occupational Therapist
  • Fall City, WA
National Provider Identifier
1740661065
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60548369 Issued in WA
Practice address
3913 324TH Ave SE
Fall City, WA 98024-7700
Phone
(425) 830-8768
NPI assigned
Jun 11, 2015
Last updated
Jun 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TL60548371 WA
Occupational Therapist 225X00000X OT60548369 WA Primary

Addresses

Primary practice location

3913 324TH Ave SE
Fall City, WA 98024-7700

Mailing address

43201 SE 176TH St
North Bend, WA 98045-9003
Phone (206) 707-2444

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
OT60548369WAMDOccupational Therapist
TL60548371WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1740661065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43201 SE 176TH ST",
            "city": "NORTH BEND",
            "state": "WA",
            "postal_code": "980459003",
            "telephone_number": "206-707-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3913 324TH AVE SE",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980247700",
            "telephone_number": "425-830-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBER",
        "first_name": "ERIN",
        "middle_name": "ANNE TULLY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "TL60548371",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60548369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall City, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.