Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Johnson, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1053549337

Marissa Johnson, MOT, OTR/L is an Occupational Therapist in Puyallup, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2009
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

17615 85th Avenue Ct E
Puyallup, WA 98375-1859
Phone: (253) 216-2589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 32030 23rd Ave S, Federal Way, WA 98003-6031 — (253) 946-4852

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT60013976 (WA)

Record details

NPI number1053549337
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOT , OTR/L
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESSeptember 3, 2020
Certification dateSeptember 3, 2020

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