Organization Active NPI

Vibrant Connections Occupational Therapy LLC

  • Occupational Therapist
  • Bonney Lake, WA
National Provider Identifier
1124958764
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
VIBRANT CONNECTIONS OCCUPATIONAL THERAPY LLC
Practice address
14422 199TH Ave E
Bonney Lake, WA 98391-8252
Phone
(253) 307-0827
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Olivia Konicek, MOT, OTR/LNPI 1669257606
Title
Occupational Therapist
Phone
(253) 307-0827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

14422 199TH Ave E
Bonney Lake, WA 98391-8252

Mailing address

14422 199TH Ave E
Bonney Lake, WA 98391-8252
Phone (253) 307-0827

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1124958764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14422 199TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918252",
            "telephone_number": "253-307-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14422 199TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918252",
            "telephone_number": "253-307-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT CONNECTIONS OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "KONICEK",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "253-307-0827",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.