Active NPI
Claire Elise Jackson Koning, MOTR/L
- Physical Rehabilitation Occupational Therapist
- Seattle, WA
National Provider Identifier
1174050967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT60737466
- Practice address
- 325 9TH Ave
Box Number 359897
Seattle, WA 98104-2420 - Phone
- (206) 744-8140
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT60737466 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Box Number 359897
Seattle, WA 98104-2420
Mailing address
427 Summit Ave E
#204
Seattle, WA 98102-4850
Phone (630) 247-3638
Other names 1
- Claire Elise Jackson
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT60737466 | WA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1174050967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "427 SUMMIT AVE E",
"address_2": "#204",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024850",
"telephone_number": "630-247-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "BOX NUMBER 359897",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-8140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONING",
"first_name": "CLAIRE",
"middle_name": "ELISE JACKSON",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "WA",
"license": "OT60737466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAIRE",
"last_name": "JACKSON",
"middle_name": "ELISE",
"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 May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.