Active NPI
Cynthia Marie Larsen, OTR/L
- Occupational Therapist
- Lynnwood, WA
National Provider Identifier
1952653768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 00001530
- Practice address
- 19231 36TH Ave W Ste K
Lynnwood, WA 98036-5763 - Phone
- (425) 774-9564
- NPI assigned
- Oct 4, 2012
- 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 | OT 00001530 | WA | Primary |
Addresses
Primary practice location
19231 36TH Ave W Ste K
Lynnwood, WA 98036-5763
Mailing address
13502 106TH Dr SE
Snohomish, WA 98296-8245
Phone (360) 668-6908
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 00001530 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Return 2 Work, LLC | 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 and National Provider Directory roles.
-
- Specialist
- Lynnwood, WA
- NPI 1386883395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608854400000",
"number": "1952653768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13502 106TH DR SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982968245",
"telephone_number": "360-668-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 36TH AVE W STE K",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365763",
"telephone_number": "425-774-9564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "CYNTHIA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-04",
"last_updated": "2020-12-25",
"certification_date": "2020-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 00001530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.