Jitka Fiala Terry, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00001778 Issued in WA

Practice address

21008 76TH Ave W
Edmonds, WA 98026-7104

Phone

(425) 778-0107

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1073775409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14233 30TH AVE SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125002",
            "telephone_number": "425-338-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21008 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267104",
            "telephone_number": "425-778-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JITKA",
        "middle_name": "FIALA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Taylor, DDS
• Aileen Tedrow, LMHCA
• Kaelyn Tercero
• Teresa M Schlesinger MD PLLC
• Christine Y Terry, PHYSCIANS ASSISTANT
• Donald Tesch, M.D.
• Susan Maltz Tesch, M.S., L.M.F.T.
• Seble Embay Tesfay, REGISTERED NURSE
• Rupin Raj Thakkar, MD
• Julianne Thal, NAC

• Occupational Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.