IndividualActive
Marissa Johnson, MOT, OTR/L
NPI 1053549337 · Occupational Therapist · Puyallup, WA
Provider details
- NPI number
- 1053549337
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT60013976 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17615 85th Avenue Ct E
Puyallup, WA 98375-1859
Phone: (253) 216-2589
Street-level locationGet directions
Mailing address
3620 68th Ave W
University Place, WA 98466-5118
Additional practice locations (1)
- 32030 23rd Ave SFederal Way, WA 98003-6031Phone: (253) 946-4852Fax: (253) 946-4862
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.