Individual provider Active NPI

Margaret Grace Siemer, OTR/L; CLT

  • Hand Occupational Therapist
  • Lake Stevens, WA
National Provider Identifier
1184655490
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00004496 Issued in WA
Practice address
9514 4TH St NE
101
Lake Stevens, WA 98258-1937
Phone
(425) 397-2327
Fax
(425) 377-0283
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT 6976 CA
Hand Occupational Therapist 225XH1200X OT00004496 WA Primary

Addresses

Primary practice location

9514 4TH St NE
101
Lake Stevens, WA 98258-1937

Mailing address

10505 19TH Ave SE
Suite B
Everett, WA 98208-4280
Phone (408) 570-0510

Other identifiers 2

IdentifierTypeStateIssuer
OT00004496OtherWAWA LICENSE
OT0069760OtherCABLUE SHIELD

Other names 1

  • Ms. Margaret Grace Shannon Jennings 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 6976CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Rehabilitation Therapy Hand Past Accepting new patients

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1184655490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 19TH AVE SE",
            "address_2": "SUITE B",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084280",
            "telephone_number": "408-570-0510",
            "fax_number": "408-570-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 4TH ST NE",
            "address_2": "101",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982581937",
            "telephone_number": "425-397-2327",
            "fax_number": "425-377-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMER",
        "first_name": "MARGARET",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "OTR/L; CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT 6976",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00004496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "OT00004496",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OT0069760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "SHANNON JENNINGS",
            "middle_name": "GRACE",
            "prefix": "MS.",
            "credential": "OTR/L; CLT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.