Active NPI
Terence P Mertens, OTR/L
- Occupational Therapist
- Tumwater, WA
National Provider Identifier
1801835681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00002928
- Practice address
- 2120 Mottman Road S.W.
Tumwater, WA 98512 - Phone
- (360) 357-7466
- Fax
- (360) 357-1151
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00002928 | WA | Primary |
Addresses
Primary practice location
2120 Mottman Road S.W.
Tumwater, WA 98512
Mailing address
2120 Mottman Road S.W.
Tumwater, WA 98512
Phone (360) 357-7466
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0213573 | Other | WA | LABOR AND INDUSTRIES |
| ME5173 | Other | WA | REGENCE BLUESHIELD |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00002928 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Sports and Spine Rehabilitation PS | Occupational Therapist | 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.
-
- Physical Therapist
- Puyallup, WA
- NPI 1558310375
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1801835681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 MOTTMAN ROAD S.W.",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-357-7466",
"fax_number": "360-357-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 MOTTMAN ROAD S.W.",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-357-7466",
"fax_number": "360-357-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTENS",
"first_name": "TERENCE",
"middle_name": "P",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00002928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0213573",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "ME5173",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.