Individual provider Active NPI

Rainey E Frette, COTA/L

  • Occupational Therapy Assistant
  • Mount Vernon, WA
National Provider Identifier
1265044085
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC610845333 Issued in WA
Practice address
11252 Walker Rd
Mount Vernon, WA 98273-7265
Phone
(360) 333-2425
NPI assigned
Aug 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X OC610845333 WA Primary

Addresses

Primary practice location

11252 Walker Rd
Mount Vernon, WA 98273-7265

Mailing address

20705 Prairie Rd
Sedro Woolley, WA 98284-8111
Phone (360) 708-6173

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OC610845333WAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skagit OT Studio LLC Single Specialty PastSince Aug 23, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1265044085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20705 PRAIRIE RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982848111",
            "telephone_number": "360-708-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11252 WALKER RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982737265",
            "telephone_number": "360-333-2425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETTE",
        "first_name": "RAINEY",
        "middle_name": "E",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC610845333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.