Fidalgo Island Pediatric Occupational Therapy Services PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIDALGO ISLAND PEDIATRIC OCCUPATIONAL THERAPY SERVICES PLLC

Practice address

2116 Meadows LN
Anacortes, WA 98221-1170

Phone

(206) 819-3905

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Carlene Nichols, OTR/LNPI 1245662501

Title

Owner

Phone

(206) 819-3905

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlene Nichols

  • Occupational Therapist
  • Bellingham, WA
  • NPI 1245662501
  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1003576257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MEADOWS LN",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211170",
            "telephone_number": "206-819-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MEADOWS LN",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211170",
            "telephone_number": "206-819-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDALGO ISLAND PEDIATRIC OCCUPATIONAL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "CARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-819-3905",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin L Farnsworth, O.D.
• Helena Louise Fenters
• Kylee Fick, MSW
• Fidalgo Functional Physical Therapy
• Fidalgo Island Chiropractic Clinic
• Fidalgo Island Walk-in Clinic
• Fidalgo Medical Associates PLLC
• Fidalgo Pharmacy Services, Inc
• Fidalgo Sports and Physiatry
• Dana Marie Fischer, MA00024010

• Clinic/Center in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.