Individual provider Active NPI

Amie Christine Grimme, MOT OTRL

  • Occupational Therapist
  • Federal Way, WA
National Provider Identifier
1275601080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000424B Issued in WA
Practice address
35535 6TH PL SW
Federal Way, WA 98023
Phone
(253) 874-5445
Fax
(253) 874-0687
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT0000424B WA Primary

Addresses

Primary practice location

35535 6TH PL SW
Federal Way, WA 98023

Mailing address

PO Box 24269
Birth to Three Developmental Center
Federal Way, WA 98093-1269
Phone (206) 794-4688

Other identifiers 1

IdentifierTypeStateIssuer
6887GROtherWAREGENCE BS

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
OT0000424BWAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Birth to Three Developmental Center Past 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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275601080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24269",
            "address_2": "BIRTH TO THREE DEVELOPMENTAL CENTER",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980931269",
            "telephone_number": "206-794-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35535 6TH PL SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98023",
            "telephone_number": "253-874-5445",
            "fax_number": "253-874-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMME",
        "first_name": "AMIE",
        "middle_name": "CHRISTINE",
        "credential": "MOT OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT0000424B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "6887GR",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.