Active NPI
Annie Dang-Ye Wong, OTR/L
- Occupational Therapist
- Lake Forest Park, WA
National Provider Identifier
1992183149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60523667
- Practice address
- 16163 41St Ave NE
Lake Forest Park, WA 98155-6725 - Phone
- (206) 999-6988
- NPI assigned
- May 8, 2015
- 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 | 60523667 | WA | Primary |
Addresses
Primary practice location
16163 41St Ave NE
Lake Forest Park, WA 98155-6725
Mailing address
16163 41St Ave NE
Lake Forest Park, WA 98155-6725
Phone (206) 999-6988
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 |
|---|---|---|---|
| 60523667 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1992183149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16163 41ST AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981556725",
"telephone_number": "206-999-6988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16163 41ST AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981556725",
"telephone_number": "206-999-6988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "ANNIE",
"middle_name": "DANG-YE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60523667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.