Shannon McGarry Wiese, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60821432 Issued in WA

Practice address

1800 Index Ave NE
Renton, WA 98056-2314

Phone

(425) 224-2200

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1992270003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15517 27TH DR SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980124845",
            "telephone_number": "425-308-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 INDEX AVE NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980562314",
            "telephone_number": "425-224-2200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7447 84th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980405348",
            "country_code": "US",
            "telephone_number": "206-230-3413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIESE",
        "first_name": "SHANNON",
        "middle_name": "MCGARRY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60821432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Wick, PT
• Tauri Wicklund
• Julie Ann Wickwire, L.M.P.
• Laura Ann Widdice, RN
• Valerie Danelle Wiens, IBCLC
• Hailey Anne Wiest
• Winter Fain Wildt-Bailey, PT
• Kial Lynne Wiley, MD
• Rebecca Darlene Wilke, CPHT
• Leah Marie Wilkinson Keylard, MA, CCC A

• Occupational Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.