Active NPI
Mary Hughes Griffin, OTRL
- Occupational Therapist
- Federal Way, WA
National Provider Identifier
1912074014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00002188
- Practice address
- 35535 6TH PL SW
Birth to Three Developmental Center
Federal Way, WA 98023 - Phone
- (253) 874-5445
- Fax
- (253) 874-0687
- NPI assigned
- Nov 30, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OT00002188 | WA | Primary |
Addresses
Primary practice location
35535 6TH PL SW
Birth to Three Developmental Center
Federal Way, WA 98023
Mailing address
PO Box 24269
Federal Way, WA 98093-1269
Phone (253) 874-5445
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8367666 | Medicaid | WA | |
| AA237263 | Other | NATIONAL BD FOR CERTIFICA | |
| GR5126 | Other | REGENCE BS |
Other names 1
- Betty Griffin
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00002188 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Birth to Three Developmental Center | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Federal Way, WA
- NPI 1609936624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912074014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24269",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980931269",
"telephone_number": "253-874-5445",
"fax_number": "253-874-0687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35535 6TH PL SW",
"address_2": "BIRTH TO THREE DEVELOPMENTAL CENTER",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98023",
"telephone_number": "253-874-5445",
"fax_number": "253-874-0687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "MARY",
"middle_name": "HUGHES",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00002188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8367666",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BD FOR CERTIFICA",
"identifier": "AA237263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BS",
"identifier": "GR5126",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETTY",
"last_name": "GRIFFIN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.