Individual provider Active NPI

Katherine Lorraine Crutsinger

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1073011045
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61100297 Issued in WA
Practice address
1618 S Lane St
Seattle, WA 98144-2829
Phone
(206) 899-7913
Fax
(206) 328-6241
NPI assigned
Jan 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 20881 CA
Occupational Therapist 225X00000X 433876 OR
Occupational Therapist 225X00000X OT61100297 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1618 S Lane St
Seattle, WA 98144-2829

Mailing address

3636 Fremont LN N Apt 102
Seattle, WA 98103-8742
Phone (310) 990-8395

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20881CAMDOccupational Therapist
433876ORMDOccupational Therapist
OT61100297WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1073011045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 FREMONT LN N APT 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038742",
            "telephone_number": "310-990-8395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 S LANE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442829",
            "telephone_number": "206-899-7913",
            "fax_number": "206-328-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTSINGER",
        "first_name": "KATHERINE",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2020-12-09",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20881",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "433876",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61100297",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.