Laurie Martinchuk

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT60644519 Issued in WA

Practice address

412 E 30TH Ave
Spokane, WA 99203-2556

Phone

(509) 535-5855

Fax

(509) 535-3916

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Avpr PLLC

  • Occupational Therapist
  • Spokane, WA
  • NPI 1770038895

  Low Vision

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1831644079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 30TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E 30TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032556",
            "telephone_number": "509-535-5855",
            "fax_number": "509-535-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINCHUK",
        "first_name": "LAURIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT60644519",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60644519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Anne Martin, OT
• Sherrie Diane Martin, L.M.P
• Tricia Martin
• William R Martin, P.A.
• William Starr Martin, RN
• Timothy Martinchuk, LMT
• Dubravka Martincic, DSHS MA4727, SA2595,
• Kevin R Martindale, PT
• Tyler Martindale
• Ashley Marie Martinez- Gonzalez

• Pediatric Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.