Bainbridge Pediatric Therapy

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

BAINBRIDGE PEDIATRIC THERAPY

Doing business as

Bainbridge Pediatric Therapy

Practice address

1173 Madison Ave N
Bainbridge Island, WA 98110-1782

Phone

(206) 972-0648

NPI assigned

Dec 18, 2019

Last updated

Dec 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Bautista, OTRNPI 1477668366

Title

Otr/Ower Bainbridge Ped Therapy

Phone

(206) 972-0648

Specialties & licenses 1

Addresses

Other names 1

• Bainbridge Pediatric Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Valerie Bautista, OTR/L

  • Pediatric Occupational Therapist
  • Bainbridge Island, WA
  • NPI 1477668366

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1275171498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 NE ESPERIONE LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102650",
            "telephone_number": "206-972-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 MADISON AVE N",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101782",
            "telephone_number": "206-972-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OTR/OWER BAINBRIDGE PED THERAPY",
        "authorized_official_telephone_number": "206-972-0648",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bainbridge Island Ambulance Association Inc
• Bainbridge Island Community Pharmacy LLC (Bainbridge Island Community Pharmacy)
• Bainbridge Island Physical Therapy, LLC
• Bainbridge Island School District
• Bainbridge Mental Health, PLLC (Sport Psych MD)
• Bainbridge Pediatrics, PLLC
• Bainbridge Skin Surgery and Consultative Dermatology PLLC
• Bainbridge Vision Inc PS (Bainbridge Vision)
• Laura West Baker, LMHC
• Michelle Bale

• Pediatric Occupational Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.