Kathleen Ajax Bader, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

00000862 Issued in WA

Practice address

1010 S 336TH St
Suite 210
Federal Way, WA 98003-6385

Phone

(253) 835-8091

Fax

(253) 835-7102

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• SHC Services Inc.

  • Skilled Nursing Facility
  • Federal Way, WA
  • NPI 1124306725
  NPD (past)

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1306146394",
    "addresses": [
        {
            "country_code": "VN",
            "country_name": "Viet Nam",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "1010 SO. 336TH ST.",
            "address_2": "SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WASHINGTON",
            "postal_code": "998003",
            "telephone_number": "253-835-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST",
            "address_2": "SUITE 210",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036385",
            "telephone_number": "253-835-8091",
            "fax_number": "253-835-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADER",
        "first_name": "KATHLEEN",
        "middle_name": "AJAX",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "00000862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rambod Agharokh Aznavaleh, DPM
• Ephraim Ngozi Azubuike, 00189274
• Alan R Azulay, PHD
• Abdelmajid Azzedine, PH.D.
• Darlene Michelle Bacelonia, MS, BCBA, LBA
• Neeraja Badrinarayanan
• Rutvij J Badshah
• Mohinder Singh Badyal, M.D.
• Byeong Charlie Bae, L.AC.
• Seung Gi Baek, L.AC.

• Physical Rehabilitation Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Physical Rehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.