Individual provider Active NPI

Vanessa Marie Igelsrud, OT

  • Occupational Therapist
  • Auburn, WA
National Provider Identifier
1104751205
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.OT.60663994 Issued in WA
Practice address
1314 Auburn Way N
Auburn, WA 98002-4109
Phone
(253) 237-3405
Fax
(253) 426-3096
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 OT.OT.60663994 WA Primary

Addresses

Primary practice location

1314 Auburn Way N
Auburn, WA 98002-4109

Mailing address

5002 Mill Pond Loop SE
Auburn, WA 98092-3810

Other names 1

  • Ms. Vanessa Marie Griffith Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Creek Therapy PLLC Occupational Therapist PastSince Dec 29, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1104751205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 MILL POND LOOP SE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 AUBURN WAY N",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024109",
            "telephone_number": "253-237-3405",
            "fax_number": "253-426-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGELSRUD",
        "first_name": "VANESSA",
        "middle_name": "MARIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT.OT.60663994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "GRIFFITH",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "OT/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.