Active NPI
Margaret Grace Siemer, OTR/L; CLT
- Hand Occupational Therapist
- Lake Stevens, WA
National Provider Identifier
1184655490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00004496
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT00004496 | Other | WA | WA LICENSE |
| OT0069760 | Other | CA | BLUE SHIELD |
Other names 1
- Ms. Margaret Grace Shannon Jennings
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 6976 | CA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Hand Occupational Therapist
- Oxnard, CA
- NPI 1689601114
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.