Deborah Ann Mazza, OTR/L, CHT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT00001791 Issued in WA

Practice address

12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064

Phone

(425) 823-4224

Fax

(425) 820-8975

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  dba Proliance Hand, Wrist and Elbow Physicians

  • Orthopaedic Hand Surgery Physician
  • Kirkland, WA
  • NPI 1134165897

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1013119379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H220",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343064",
            "telephone_number": "425-823-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H220",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343064",
            "telephone_number": "425-823-4224",
            "fax_number": "425-820-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 116th Ave NE Ste D4",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043058",
            "country_code": "US",
            "telephone_number": "425-283-5230",
            "fax_number": "425-283-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZA",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001791",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00001791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127689",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Clark May, MD
• Paul K Mayeda, M.D.
• Kaylee Maynard
• Shaman Mayne
• Aaronda Kay Mayo, N.D., PT
• Celine Mbabazi, BHS
• Katharine E. McAlister, LMP
• Taylor McAvoy
• Alexis McCamey
• Melanie McCann, L.AC

• Hand Occupational Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.