Mary Jane Witmer

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00000540 Issued in WA

Practice address

2402 Northwest 195TH Place
Shoreline, WA 98177-2932

Phone

(206) 364-3777

Fax

(206) 364-3999

NPI assigned

May 16, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wonderland Child & Family Services

  • Developmental Disabilities Clinic/Center
  • Shoreline, WA
  • NPI 1003478660

  Occupational Therapist

  NPD (past)
• Wonderland Developmental Center

  • Speech-Language Pathologist
  • Shoreline, WA
  • NPI 1982779948

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1992912448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 NORTHWEST 195TH PLACE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 NORTHWEST 195TH PLACE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981772932",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITMER",
        "first_name": "MARY",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline M Wilson, RN
• Lisa Winchell, ARNP, DNP
• Jonathan Winship
• Deborah Christina Winston, CDPT
• Kyle William Wisniewski, PTA
• Christopher A Wodja, DMD
• Yosef Hailu Woger, PHARMD
• Katieann Wohlford
• Senayet Mary Woldemariam, D.P.T.
• Paula Wolf, CDP

• Occupational Therapist in Shoreline, WA
• Providers in Shoreline, 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 25, 2016; 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.