Individual provider Active NPI

Courtney Lynn McLaughlin, OTRL

  • Occupational Therapist
  • Auburn, WA
National Provider Identifier
1306952684
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00003177 Issued in WA
Practice address
122 3Rd St NE
Auburn, WA 98002-4013
Phone
(253) 833-7750
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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 OT00003177 WA Primary

Addresses

Primary practice location

122 3Rd St NE
Auburn, WA 98002-4013

Mailing address

122 3Rd St NE
Auburn, WA 98002-4013
Phone (253) 833-7750

Other identifiers 3

IdentifierTypeStateIssuer
OT00003177OtherWAOCCUP THERAPY LICENSE #
0227851OtherWALABOR AND INDUSTRIES
G8870005OtherWAMEDICARE LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000069 WA Practitioner - Occupational Therapist in Private Practice 9032291224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puyallup Valley Physical Therapy Inc PSGroup PAC ID 7517952914, 11 clinicians

Practice addresses (Care Compare)

2520 7TH St SE
Puyallup, WA 98374-1105
Phone (253) 848-2309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00003177WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Surgery Associates, PLLC CurrentSince Jan 7, 2008 Accepting new patients
Puyallup Valley Physical Therapy, Inc. P. S. Occupational Therapist CurrentSince Oct 1, 2024 Accepting new patients
Cascade Surgery Associates, PLLC CurrentSince Jan 7, 2008 Accepting new patients

Locations

122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750

2520 7th St SE
Puyallup, WA 98374
Phone (206) 848-2309

Organizations & group practices 3

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1306952684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 3RD ST NE",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024013",
            "telephone_number": "253-833-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "COURTNEY",
        "middle_name": "LYNN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUP THERAPY LICENSE #",
            "identifier": "OT00003177",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0227851",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "G8870005",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.