Gina Marie Tavarez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61495787 Issued in WA

Practice address

1141 Beach Dr E
Port Orchard, WA 98366-4937

Phone

(360) 895-4700

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Gina Marie Markle Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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.

• Empowerme Rehabilitation Wa, PC

  • Multi-Specialty Clinic/Center
  • Issaquah, WA
  • NPI 1821748112

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1871351692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8836 SELBO PEAK PL NW",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983119456",
            "telephone_number": "412-200-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 BEACH DR E",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983664937",
            "telephone_number": "360-895-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVAREZ",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61495787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MARKLE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary C Tammen, PT, DPT
• Richard J. Tanaka, M.D.
• Keith C Tang, M.D.
• Tangerine Health Professionals PLLC
• Karen Joanna Tarango
• Dee Ann Hackett Taylor, MD
• Andrew J Tellington, D.M.D
• Leslie Tercero
• Kayla M Terry
• Jennifer Thatcher, PTA

• Occupational Therapist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.