Active NPI
Jessica Ann Garrett, OCCUPATIONAL THERAPI
- Hand Occupational Therapist
- Bothell, WA
National Provider Identifier
1194038109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT60167274
- Practice address
- 18504 Bothell Way NE
Bothell, WA 98011-1927 - Phone
- (425) 481-1933
- Fax
- (425) 481-9371
- NPI assigned
- Jul 19, 2010
- Last updated
- May 17, 2011
- 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 | OT60167274 | WA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT60167274 | WA |
Addresses
Primary practice location
18504 Bothell Way NE
Bothell, WA 98011-1927
Mailing address
18504 Bothell Way NE
Bothell, WA 98011-1927
Phone (425) 481-1933
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0277404 | Other | WA | DEPT OF L&I |
| 0277416 | Other | WA | DEPT OF L&I |
| 0277421 | Other | WA | DEPT OF L&I |
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 |
|---|---|---|---|
| OT60167274 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1194038109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18504 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111927",
"telephone_number": "425-481-1933",
"fax_number": "425-481-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18504 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111927",
"telephone_number": "425-481-1933",
"fax_number": "425-481-9371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "OCCUPATIONAL THERAPI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-19",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT60167274",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT60167274",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "0277404",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "0277416",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF L&I",
"identifier": "0277421",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.