Individual provider Active NPI

Robert J. Waite, O.T.

  • Occupational Therapist
  • Richland, WA
National Provider Identifier
1093044695
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60772514 Issued in WA
Practice address
1351 Fowler St Ste 110
Richland, WA 99352-4714
Phone
(509) 942-2574
Fax
(509) 942-2575
NPI assigned
Dec 10, 2009
Last updated
May 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60772514 WA Primary
Occupational Therapist 225X00000X 2659 NM

Addresses

Primary practice location

1351 Fowler St Ste 110
Richland, WA 99352-4714

Mailing address

1803 W Blodgett St
Carlsbad, NM 88220-3914
Phone (575) 302-6648

Other practice location 1

1803 W Blodgett St
Carlsbad, NM 88220-3914
Phone (575) 302-6648

Other practice location 2

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-3627 ext. 7417

Other identifiers 1

IdentifierTypeStateIssuer
2084432MedicaidWA

Other names 1

  • Robert J. Semon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

550 Gage Blvd
Suite 101
Richland, WA 99352-9528

888 Swift Blvd
Richland, WA 99352-3514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2659NMMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Kadlec Regional Medical Center CurrentSince May 21, 2023 Accepting new patients

Locations

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

1351 Fowler St
Richland, WA 99352
Phone (509) 942-2660

1351 Fowler St
Ste 110
Richland, WA 99352
Phone (509) 942-2574

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1093044695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W BLODGETT ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203914",
            "telephone_number": "575-302-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 FOWLER ST STE 110",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524714",
            "telephone_number": "509-942-2574",
            "fax_number": "509-942-2575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 W Blodgett St",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "NM",
            "postal_code": "882203914",
            "country_code": "US",
            "telephone_number": "575-302-6648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-942-3627 x7417",
            "fax_number": "509-942-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITE",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60772514",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "2659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084432",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SEMON",
            "middle_name": "J.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.