Active NPI
Kathleen Marie Nielsen, OTR/L, CHT
- Hand Occupational Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00003441
- Practice address
- 1810 116TH Ave NE
Suite D-4
Bellevue, WA 98004-3058 - Phone
- (425) 283-5230
- Fax
- (425) 283-5236
- NPI assigned
- Sep 22, 2010
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00003441 | WA | |
| Hand Occupational Therapist | 225XH1200X | OT00003441 | WA | Primary |
Addresses
Primary practice location
1810 116TH Ave NE
Suite D-4
Bellevue, WA 98004-3058
Mailing address
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224
Other practice location 1
12911 120th Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2065052 | Medicaid | WA |
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 |
|---|---|---|---|
| 00003441 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc P S | Occupational Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients |
Locations
1810 116th Ave NE
Ste D4
Bellevue, WA 98004
Phone (425) 283-5230
12911 120th Ave NE
Ste H220
Kirkland, WA 98034
Phone (425) 216-7075
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Hand Surgery Physician
- Kirkland, WA
- NPI 1134165897
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1245548338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343064",
"telephone_number": "425-823-4224",
"fax_number": "425-820-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 116TH AVE NE",
"address_2": "SUITE D-4",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043058",
"telephone_number": "425-283-5230",
"fax_number": "425-283-5236"
}
],
"practiceLocations": [
{
"address_1": "12911 120th Ave NE Ste H220",
"address_purpose": "LOCATION",
"city": "Kirkland",
"state": "WA",
"postal_code": "980343064",
"country_code": "US",
"telephone_number": "425-823-4224",
"fax_number": "425-820-8975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIELSEN",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-22",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00003441",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00003441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2065052",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.