Individual provider Active NPI

Katelyn Reed

  • Occupational Therapist
  • Bothell, WA
National Provider Identifier
1124735048
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61366092 Issued in WA
Practice address
19021 120TH Ave NE Ste 102
Bothell, WA 98011-9511
Phone
(425) 486-7710
Fax
(425) 483-6059
NPI assigned
Oct 31, 2022
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 OT61366092 WA Primary

Addresses

Primary practice location

19021 120TH Ave NE Ste 102
Bothell, WA 98011-9511

Mailing address

19021 120TH Ave NE Ste 102
Bothell, WA 98011-9511
Phone (425) 486-7710

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61366092WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Therapy of Woodinville Occupational Therapist CurrentSince Mar 12, 2024 Accepting new patients
Wonderland Child & Family Services Occupational Therapist PastSince Nov 1, 2022 Accepting new patients
Wonderland Developmental Center Occupational Therapist PastSince Nov 1, 2022 Accepting new patients

Locations

19021 120th Ave NE
Ste 102
Bothell, WA 98011
Phone (425) 486-7710

Organizations & group practices 3

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": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1124735048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19021 120TH AVE NE STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119511",
            "telephone_number": "425-486-7710",
            "fax_number": "254-836-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19021 120TH AVE NE STE 102",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980119511",
            "telephone_number": "425-486-7710",
            "fax_number": "425-483-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "KATELYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61366092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.