Active NPI
Attention & Sensory-Motor Development, LLC
Doing business as Attention & Sensory-Motor Development
- Pediatric Occupational Therapist
- Kennewick, WA
National Provider Identifier
1255649364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT00001974
- Legal business name
- ATTENTION & SENSORY-MOTOR DEVELOPMENT, LLC
- Doing business as
- Attention & Sensory-Motor Development
- Practice address
- 8514 W Gage Blvd
Kennewick, WA 99336-8108 - Phone
- (509) 845-3810
- Fax
- (888) 881-3559
- NPI assigned
- Sep 23, 2010
- Last updated
- Sep 23, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Diane Kenney, OTR/L
- Title
- Owner/Manager
- Phone
- (509) 845-3810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT00001974 | WA | Primary |
Addresses
Primary practice location
8514 W Gage Blvd
Kennewick, WA 99336-8108
Mailing address
1336 W Sunset Dr
Burbank, WA 99323-8601
Phone (509) 845-3810
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558530949 | Other | OR | OREGON DHS |
| 1987486 | Other | WA | COVENTRY HEALTHCARE |
| 8519530 | Medicaid | WA | |
| 9863141 | Other | WA | AETNA |
| 5114KE | Other | WA | ASURIS |
| 876733SPE | Other | WA | UNITED HEALTHCARE |
Other names 1
- Attention & Sensory-Motor Development
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1285200000000",
"number": "1255649364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1336 W SUNSET DR",
"city": "BURBANK",
"state": "WA",
"postal_code": "993238601",
"telephone_number": "509-845-3810",
"fax_number": "888-881-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8514 W GAGE BLVD",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368108",
"telephone_number": "509-845-3810",
"fax_number": "888-881-3559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATTENTION & SENSORY-MOTOR DEVELOPMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-23",
"last_updated": "2010-09-23",
"status": "A",
"authorized_official_last_name": "KENNEY",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "DIANE",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "509-845-3810",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT00001974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON DHS",
"identifier": "1558530949",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE",
"identifier": "1987486",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8519530",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9863141",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASURIS",
"identifier": "5114KE",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "876733SPE",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Attention & Sensory-Motor Development",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.