Individual provider Active NPI

Tami Petrina

  • Pediatric Occupational Therapist
  • Auburn, WA
National Provider Identifier
1275413007
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
00001304 Issued in WA
Practice address
502 4TH St NE
Auburn, WA 98002-5020
Phone
(253) 931-4927
NPI assigned
Sep 3, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 00001304 WA Primary

Addresses

Primary practice location

502 4TH St NE
Auburn, WA 98002-5020

Mailing address

502 4TH St NE
Auburn, WA 98002-5020
Phone (253) 931-4927

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
00001304WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn School District PastSince Sep 8, 2025 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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1275413007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 4TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025020",
            "telephone_number": "253-931-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 4TH ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025020",
            "telephone_number": "253-931-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRINA",
        "first_name": "TAMI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "00001304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.