Donna Mardelle Wilson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60355569 Issued in WA

Practice address

17518 NE 134TH PL
Redmond, WA 98052-2106

Phone

(425) 881-1342

NPI assigned

Sep 14, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379116800000",
    "number": "1104252741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17518 NE 134TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522106",
            "telephone_number": "425-881-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17518 NE 134TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980522106",
            "telephone_number": "425-881-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "DONNA",
        "middle_name": "MARDELLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-14",
        "last_updated": "2013-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60355569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Williams
• Mriana Williams, CRNA
• Robert Ian Williams, D.C.
• Rachel Daigh Wilson Rodriguez, L.AC., LMP
• Cassandra Mary Wilson, MA, MHP, EMMHS
• Betsy Winkler, PT, DPT
• Kit Christian A Winn
• Winter Sage Counseling, PLLC
• Barbara Marie Winter, MA, LMHCA PENDING
• Kinsey Winter, PT

• Occupational Therapy Assistant in Redmond, WA
• Providers in Redmond, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.