Individual provider Active NPI

Caitlin S Simoneaux, OT

  • Pediatric Occupational Therapist
  • Seattle, WA
National Provider Identifier
1124421748
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT60258084 Issued in WA
Practice address
6722 34TH Ave SW
Seattle, WA 98126-4208
Phone
(425) 686-9177
NPI assigned
Sep 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60258084 WA
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT60258084 WA
Pediatric Occupational Therapist 225XP0200X OT60258084 WA Primary

Addresses

Primary practice location

6722 34TH Ave SW
Seattle, WA 98126-4208

Mailing address

6523 California Ave SW # 350
Seattle, WA 98136-1833
Phone (425) 686-9177

Other names 1

  • Caitlin S Lecroy 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

State licenses

LicenseStateTypeSpecialty
OT60258084WAMDFeeding, Eating & Swallowing Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainbow Pediatric Occupational Therapy PLLC Pediatrics CurrentSince Dec 18, 2022 Accepting new patients

Locations

6523 California Ave SW
Seattle, WA 98136
Phone (206) 653-1804

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": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1124421748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 CALIFORNIA AVE SW # 350",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361833",
            "telephone_number": "425-686-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6722 34TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981264208",
            "telephone_number": "425-686-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONEAUX",
        "first_name": "CAITLIN",
        "middle_name": "S",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60258084",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "WA",
            "license": "OT60258084",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60258084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "LECROY",
            "middle_name": "S",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.