Active NPI
Susan Pfau
- Occupational Therapist
- Burlington, WA
National Provider Identifier
1932509387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60490793
- Practice address
- 927 East Fairhaven Ave
Burlington, WA 98233 - Phone
- (360) 757-3311
- Fax
- (360) 755-9198
- NPI assigned
- Sep 3, 2014
- Last updated
- Oct 12, 2023
- 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 | 60490793 | WA | Primary |
Addresses
Primary practice location
927 East Fairhaven Ave
Burlington, WA 98233
Mailing address
1951 S Springfield CT
Bellingham, WA 98229-6862
Phone (970) 846-6815
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 |
|---|---|---|---|
| 60490793 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Mount Vernon School Dist 320 | Past | Accepting new patients | |
| Burlington-Edison School District | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Burlington, WA
- NPI 1699866764
-
- Local Education Agency (LEA)
- Mount Vernon, WA
- NPI 1467486159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1932509387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 S SPRINGFIELD CT",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982296862",
"telephone_number": "970-846-6815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 EAST FAIRHAVEN AVE",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "98233",
"telephone_number": "360-757-3311",
"fax_number": "360-755-9198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAU",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60490793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.