Individual provider Active NPI

Annelise Prat

  • Occupational Therapist
  • Poulsbo, WA
National Provider Identifier
1083488464
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
19505 7TH Ave NE
Poulsbo, WA 98370-7700
Phone
(360) 598-3764
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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 Primary

Addresses

Primary practice location

19505 7TH Ave NE
Poulsbo, WA 98370-7700

Mailing address

436 Broadway Apt 215
Tacoma, WA 98402-3926

Other practice location 1

436 Broadway Apt 215
Tacoma, WA 98402-3926
Phone (304) 617-7849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212004275 WA Practitioner - Occupational Therapist in Private Practice 2668815168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19505 7TH Ave NE
Poulsbo, WA 98370-7700
Phone (360) 779-3777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Growth. Occupational Therapy and Wellness PLLC Occupational Therapist Current Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc CurrentSince Dec 18, 2023 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Occupational Therapist CurrentSince Dec 18, 2023 Accepting new patients

Locations

19505 7th Ave NE
Poulsbo, WA 98370
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 3

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1083488464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BROADWAY APT 215",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 7TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707700",
            "telephone_number": "360-598-3764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 Broadway Apt 215",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023926",
            "country_code": "US",
            "telephone_number": "304-617-7849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAT",
        "first_name": "ANNELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; 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.