Individual provider Active NPI

Tierza Rene Clerc, MOTR/L

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1942363486
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
61394253 Issued in WA
Practice address
3220 SW Barton St
Seattle, WA 98126-3810
Phone
(253) 223-1751
Fax
(253) 223-1751
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA00013224 WA
Occupational Therapist 225X00000X 61394253 WA Primary

Addresses

Primary practice location

3220 SW Barton St
Seattle, WA 98126-3810

Mailing address

3220 SW Barton St
Seattle, WA 98126-3810
Phone (253) 223-1751

Other identifiers 1

IdentifierTypeStateIssuer
0175380OtherWAL&I STATE NUMBER

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

LicenseStateTypeSpecialty
MA00013224WAMDMassage Therapist
61394253WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1942363486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 SW BARTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263810",
            "telephone_number": "253-223-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SW BARTON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263810",
            "telephone_number": "253-223-1751",
            "fax_number": "253-223-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLERC",
        "first_name": "TIERZA",
        "middle_name": "RENE",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013224",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61394253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I STATE NUMBER",
            "identifier": "0175380",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.