Kaylee Jean Cook, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61257276 Issued in WA

Practice address

515 Harrison Ave Ste a
Centralia, WA 98531-1300

Phone

(608) 702-4733

Fax

(360) 312-4204

NPI assigned

Nov 1, 2017

Last updated

Jan 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeborn Wellness PLLCGroup PAC ID 9032520473, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freeborn Wellness, PLLC

  • Occupational Therapist
  • Lacey, WA
  • NPI 1518324649
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1215449079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27238 WEBSTER RD E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983389350",
            "telephone_number": "253-691-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HARRISON AVE STE A",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311300",
            "telephone_number": "608-702-4733",
            "fax_number": "360-312-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KAYLEE",
        "middle_name": "JEAN",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61257276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowen Patrick Connolly
• Abagail Faith Conradi
• Mercedes Longton Converse, PA-C
• Brandon Cook
• Donna Terese Cook
• Cynthia Ann Cooke, M.S.P.T.
• Tammera M Cooke, MA, LMHC, PSYD
• Kenneth J Coombs, PT
• Justin Charles Cooper, PA-C
• Loren D Cooper, M.D.

• Occupational Therapist in Centralia, WA
• Providers in Centralia, 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, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.