Active NPI
Katherine Shizue Tamura Neely, OTD, OTR/L
- Occupational Therapist
- Lynden, WA
National Provider Identifier
1215272356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60323437
- Practice address
- 855 Aaron Dr
Lynden, WA 98264-9396 - Phone
- (808) 224-1276
- NPI assigned
- Nov 30, 2012
- Last updated
- Nov 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60323437 | WA | Primary |
Addresses
Primary practice location
855 Aaron Dr
Lynden, WA 98264-9396
Mailing address
6878 195A Street
Surrey, BRITISH COLUMBIA V4N5Y9
CA
Phone (604) 441-7399
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 |
|---|---|---|---|
| 60323437 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1215272356",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "6878 195A STREET",
"city": "SURREY",
"state": "BRITISH COLUMBIA",
"postal_code": "V4N5Y9",
"telephone_number": "604-441-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 AARON DR",
"city": "LYNDEN",
"state": "WA",
"postal_code": "982649396",
"telephone_number": "808-224-1276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "KATHERINE",
"middle_name": "SHIZUE TAMURA",
"name_prefix": "Mrs.",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-30",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60323437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynden, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.