Active NPI
Patsy Ann Flood, COTA
- Occupational Therapy Assistant
- Shoreline, WA
National Provider Identifier
1073733986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OC00000353
- Practice address
- 16357 Aurora Ave N
Shoreline, WA 98133-5651 - Phone
- (206) 542-3103
- Fax
- (206) 542-4813
- NPI assigned
- Apr 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00017880 | WA | |
| Occupational Therapy Assistant | 224Z00000X | OC00000353 | WA | Primary |
Addresses
Primary practice location
16357 Aurora Ave N
Shoreline, WA 98133-5651
Mailing address
2410 N 202ND PL Apt A207
Shoreline, WA 98133-2734
Phone (206) 297-8094
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 |
|---|---|---|---|
| OC00000353 | WA | MD | Occupational Therapy Assistant |
| MA00017880 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1073733986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 N 202ND PL APT A207",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981332734",
"telephone_number": "206-297-8094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16357 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981335651",
"telephone_number": "206-542-3103",
"fax_number": "206-542-4813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOOD",
"first_name": "PATSY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00017880",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC00000353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.