Active NPI
Jamie McDonald
- Occupational Therapist
- Bellevue, WA
National Provider Identifier
1295489219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 466507
- Practice address
- 148 102ND Ave SE
Bellevue, WA 98004-6197 - Phone
- (253) 350-6878
- Fax
- (610) 612-5496
- NPI assigned
- Feb 8, 2022
- Last updated
- Mar 9, 2022
- 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 | 466507 | WA | Primary |
Addresses
Primary practice location
148 102ND Ave SE
Bellevue, WA 98004-6197
Mailing address
2 E Main St Unit 311
Auburn, WA 98002-5204
Phone (712) 308-0372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220506000571 | WA | Practitioner - Occupational Therapist in Private Practice | 1052798378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 466507 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehabilitation, LLC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1295489219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E MAIN ST UNIT 311",
"city": "AUBURN",
"state": "WA",
"postal_code": "980025204",
"telephone_number": "712-308-0372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 102ND AVE SE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980046197",
"telephone_number": "253-350-6878",
"fax_number": "610-612-5496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "JAMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-03-09",
"certification_date": "2022-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "466507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.