Organization Active NPI

Corvidae Therapy and Consultation, PLLC

  • Pediatric Occupational Therapist
  • Seattle, WA
National Provider Identifier
1164215125
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
CORVIDAE THERAPY AND CONSULTATION, PLLC
Practice address
3215 NE 123Rd St
Seattle, WA 98125-5515
Phone
(206) 351-8145
NPI assigned
May 23, 2025
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Rebecca Berg, OTR/L, IMHM-CNPI 1508013335
Title
Occupational Therapist
Phone
(206) 351-8145

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
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

3215 NE 123Rd St
Seattle, WA 98125-5515

Mailing address

11506 34TH Ave NE
Seattle, WA 98125-5614
Phone (206) 351-8145

Other names 1

  • Corvidae Consultation, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3215 NE 123rd St
Seattle, WA 98125
Phone (206) 351-8145

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1164215125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11506 34TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255614",
            "telephone_number": "206-351-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 NE 123RD ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255515",
            "telephone_number": "206-351-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORVIDAE THERAPY AND CONSULTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "206-351-8145",
        "authorized_official_credential": "OTR/L, IMHM-C"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corvidae Consultation, LLC",
            "code": "4",
            "type": "Former Legal Business 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 May 30, 2025; 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.