Active NPI
Katherine Lorraine Crutsinger
- Occupational Therapist
- Seattle, WA
National Provider Identifier
1073011045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61100297
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 20881 | CA | MD | Occupational Therapist |
| 433876 | OR | MD | Occupational Therapist |
| OT61100297 | WA | MD | Occupational 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.