Organization Active NPI

Avpr PLLC

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1770038895
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
AVPR PLLC
Practice address
104 S Freya St
#109 D Brown Flag BLDG.
Spokane, WA 99202-4867
Phone
(509) 554-5565
Fax
(509) 381-3524
NPI assigned
Aug 18, 2016
Organization subpart
Yes
Parent organization
AVPR PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Authorized official

Name
Laurie Jean Martinchuk, OTR/LNPI 1831644079
Title
Owner/Occupational Therapist
Phone
(509) 554-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X WA1528TX WA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Low Vision Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XL0004X OT60644519 WA
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X
Neurorehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XN1300X OT60644519 WA
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X OT60644519 WA
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT60644519 WA

Addresses

Primary practice location

104 S Freya St
#109 D Brown Flag BLDG.
Spokane, WA 99202-4867

Mailing address

104 S Freya St.
#109 D Brown Flag BLDG.
Spokane, WA 99202-4867
Phone (509) 554-5565

Other names 1

  • Foundations Holistic Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191224000418 WA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9032543111 Receives reassigned benefits from 2 practitioners
Practice locations: Spokane, WA

National Provider Directory

National Provider Directory
Part of
Avpr PLLC

Locations

104 S Freya St
Ste 109D
Spokane, WA 99202
Phone (509) 554-5565

104 S Freya St
Ste 220
Spokane, WA 99202
Phone (509) 535-5855

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1770038895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST.",
            "address_2": "#109 D BROWN FLAG BLDG.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-554-5565",
            "fax_number": "509-381-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FREYA ST",
            "address_2": "#109 D BROWN FLAG BLDG.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024867",
            "telephone_number": "509-554-5565",
            "fax_number": "509-381-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVPR PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AVPR PLLC",
        "enumeration_date": "2016-08-18",
        "last_updated": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTINCHUK",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "509-554-5565",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "WA1528TX",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Low Vision",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foundations Holistic Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.