NPIMap

Organization Active NPI

Theracare LLC

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1083057913
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00003034 Issued in WA
Legal business name
THERACARE LLC
Practice address
3908 NE 110TH St
Seattle, WA 98125-5737
Phone
(206) 440-0990
NPI assigned
Apr 10, 2013
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Karan Dennis, O.T.R.
Title
Owner
Phone
(206) 440-0990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00003034 WA Primary

Addresses

Primary practice location

3908 NE 110TH St
Seattle, WA 98125-5737

Mailing address

3908 NE 110TH St
Seattle, WA 98125-5737

Other identifiers 1

IdentifierTypeStateIssuer
2023660MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1083057913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 NE 110TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 NE 110TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255737",
            "telephone_number": "206-440-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-440-0990",
        "authorized_official_credential": "O.T.R."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023660",
            "state": "WA"
        }
    ],
    "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 Apr 10, 2013; 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.