NPIMap

Organization Active NPI

Aberdeen Therapy Works Inc

  • Occupational Therapist
  • Aberdeen, WA
National Provider Identifier
1063544245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00001109 Issued in WA
Legal business name
ABERDEEN THERAPY WORKS INC
Practice address
100 S I St
#205
Aberdeen, WA 98520-6502
Phone
(360) 532-1707
Fax
(360) 532-1703
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Laurie Connolly, OTRNPI 1104858372
Title
Owner-Occupational Therapist
Phone
(360) 532-1707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00001109 WA Primary

Addresses

Primary practice location

100 S I St
#205
Aberdeen, WA 98520-6502

Mailing address

100 S I St
#205
Aberdeen, WA 98520-6502
Phone (360) 532-1707

Other identifiers 2

IdentifierTypeStateIssuer
0167363OtherWAWORKERS' COMP
7681679MedicaidWA

National Provider Directory

National Provider Directory

Locations

100 S I St
Ste 205
Aberdeen, WA 98520
Phone (360) 532-1707

2018 Caton Way SW
Olympia, WA 98502
Phone (360) 529-9060

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063544245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S I ST",
            "address_2": "#205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206502",
            "telephone_number": "360-532-1707",
            "fax_number": "360-532-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S I ST",
            "address_2": "#205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206502",
            "telephone_number": "360-532-1707",
            "fax_number": "360-532-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABERDEEN THERAPY WORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER-OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "360-532-1707",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMP",
            "identifier": "0167363",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7681679",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.