Active NPI
Robert J. Waite, O.T.
- Occupational Therapist
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60772514
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2084432 | Medicaid | WA |
Other names 1
- Robert J. Semon
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2659 | NM | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Current | 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.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
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.