Individual provider Active NPI

Raegan Hadley, OTD, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1083452254
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61577483 Issued in WA
Practice address
3101 Northup Way Ste 301
Bellevue, WA 98004-1435
Phone
(425) 462-5006
Fax
(425) 462-5019
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61577483 WA Primary

Addresses

Primary practice location

3101 Northup Way Ste 301
Bellevue, WA 98004-1435

Mailing address

510 8TH Ave NE Ste 320
Issaquah, WA 98029-5436
Phone (425) 462-5006

Other identifiers 1

IdentifierTypeStateIssuer
2298410MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912001226 WA Practitioner - Occupational Therapist in Private Practice 3274073671 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT Wa LLCGroup PAC ID 4183139447, 6 clinicians
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

Seattle, WA 98116
Phone (877) 407-3422

1200 112TH Ave NE
Suite C260
Bellevue, WA 98004-3746
Phone (425) 462-5006

3101 Northup Way
Bellevue, WA 98004-1449

3101 Northup Way
Suite 101
Bellevue, WA 98004-1469
Phone (425) 462-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61577483WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Current Accepting new patients
Cascade Rehabilitation Associates, PLLC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Cascade Rehabilitation Associates, PLLC Occupational Therapist CurrentSince Jul 22, 2024 Accepting new patients
Summit Rehabilitation PLLC Occupational Therapist Current Accepting new patients
Proliance Surgeons, Inc., P.S. Occupational Therapist CurrentSince Jul 28, 2025 Accepting new patients
Summit Rehabilitation PLLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Jul 28, 2025 Accepting new patients
Summit Rehabilitation PLLC CurrentSince Sep 1, 2025 Accepting new patients
Fox Rehab OT Wa LLC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients

Locations

3101 Northup Way
Ste 301
Bellevue, WA 98004
Phone (425) 462-5006

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

2431 Broadway
Everett, WA 98201
Phone (425) 252-4600

510 8th Ave NE
Ste 320
Issaquah, WA 98029

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1083452254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-462-5006",
            "fax_number": "425-462-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 NORTHUP WAY STE 301",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041435",
            "telephone_number": "425-462-5006",
            "fax_number": "425-462-5019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLEY",
        "first_name": "RAEGAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61577483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2298410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.