Active NPI
Jeri Lyn Reinertsen, OTR/L
- Occupational Therapist
- Montesano, WA
National Provider Identifier
1275939506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000256
- Practice address
- 301 N Sylvia St
Montesano, WA 98563-3020 - Phone
- (360) 249-3202
- Fax
- (360) 249-3202
- NPI assigned
- Nov 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00000256 | WA | Primary |
Addresses
Primary practice location
301 N Sylvia St
Montesano, WA 98563-3020
Mailing address
301 N Sylvia St
Montesano, WA 98563-3020
Phone (360) 249-3202
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000256 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1275939506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 N SYLVIA ST",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985633020",
"telephone_number": "360-249-3202",
"fax_number": "360-249-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N SYLVIA ST",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985633020",
"telephone_number": "360-249-3202",
"fax_number": "360-249-3202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINERTSEN",
"first_name": "JERI",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.