NPIMap

Loren Amici, OTR/L

Individual provider Active NPI Occupational Therapist · Puyallup, WA

NPI 1790043883 · NPPES record last updated Mar 12, 2017

Key facts

NPI
1790043883
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT60266165 (WA)
Practice address
2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782
Phone
(253) 447-8216
Fax
(253) 447-8789
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT60266165WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids at Play Therapy, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60266165 WA Yes

Addresses

Primary practice location

2929 5TH Ave NE Ste a
Puyallup, WA 98372-6782

Mailing address

PO Box 776
Sumner, WA 98390-0130
Phone (253) 447-8216

Other names

  • Loren Mundy Former name

Other providers in Puyallup, WA

All providers in Puyallup, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.