Individual provider Active NPI

Rachel Mieko Kasashima

  • Pediatric Occupational Therapist
  • Auburn, WA
National Provider Identifier
1053056929
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT61303150 Issued in WA
Practice address
110 2ND St SW Ste 110
Auburn, WA 98001-5250
Phone
(253) 237-3405
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT61303150 WA Primary

Addresses

Primary practice location

110 2ND St SW Ste 110
Auburn, WA 98001-5250

Mailing address

6820 Coal Creek Pkwy SE Apt B-102
Newcastle, WA 98059-3007
Phone (808) 286-4839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61303150WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Creek Therapy PLLC PastSince May 8, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1053056929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6820 COAL CREEK PKWY SE APT B-102",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593007",
            "telephone_number": "808-286-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 2ND ST SW STE 110",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980015250",
            "telephone_number": "253-237-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASASHIMA",
        "first_name": "RACHEL",
        "middle_name": "MIEKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61303150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.