Little Mountain Occupational Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

LITTLE MOUNTAIN OCCUPATIONAL THERAPY, LLC

Practice address

418 NE Tohomish St
#300
White Salmon, WA 98672

Phone

(409) 502-0018

Fax

(360) 524-7872

NPI assigned

Jan 4, 2021

Organization subpart

No

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

Authorized official

Name

Heather McClure, MOT, OTR/LNPI 1720336720

Title

Owner, Occupational Therapist

Phone

(409) 502-0018

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Kaufman McClure, MOT, OTR/L

  • Occupational Therapist
  • White Salmon, WA
  • NPI 1720336720
  NPD Authorized official
• Elizabeth Nye Winner, OTD, OTR/L

  • Occupational Therapist
  • White Salmon, WA
  • NPI 1982437844
  NPD

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1194313452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "TROUT LAKE",
            "state": "WA",
            "postal_code": "986500303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 NE TOHOMISH ST",
            "address_2": "#300",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "409-502-0018",
            "fax_number": "360-524-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MOUNTAIN OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER, OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "409-502-0018",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500650061",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720336720",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@littlemountainot.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "address_1": "418 NE TOHOMISH ST",
            "address_2": "#300",
            "city": "WHITE SALMON",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven J Koontz, P.A.
• Kula Chiropractic Sports & Wellness Center, Inc
• Katie Jolaine Kula, D.C.
• Kallie Kurtz, MSW, LCSW, LICSW
• Roy Allen Laberge, MD
• David Sheffield Martin Jr., MSOM, EAMP, LAC.
• Matthew Mayle, LMT
• Kelly McBride, OTD, OTR/L
• Sara Elizabeth McBride, PA-C
• Heather Kaufman McClure, MOT, OTR/L

• Occupational Therapist in White Salmon, WA
• Providers in White Salmon, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.