Individual provider Active NPI

Patricia M Jennings, COTA/L

  • Occupational Therapy Assistant
  • Seattle, WA
National Provider Identifier
1295165827
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC60419888 Issued in WA
Practice address
2445 3Rd Ave S
Ms:31-680
Seattle, WA 98134-1923
Phone
(206) 229-2537
Fax
(435) 572-5448
NPI assigned
Nov 18, 2013
Last updated
Nov 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60419888 WA Primary

Addresses

Primary practice location

2445 3Rd Ave S
Ms:31-680
Seattle, WA 98134-1923

Mailing address

14110 SE 171St Way Apt B101
Renton, WA 98058-8819
Phone (206) 229-2537

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
OC60419888WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1295165827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 SE 171ST WAY APT B101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980588819",
            "telephone_number": "206-229-2537",
            "fax_number": "435-572-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 3RD AVE S",
            "address_2": "MS:31-680",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981341923",
            "telephone_number": "206-229-2537",
            "fax_number": "435-572-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "PATRICIA",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60419888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.