NPIMap

Organization Active NPI

Wellness Occupational Therapy LLC

Doing business as Holistic Orthopedics

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1316378763
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
WELLNESS OCCUPATIONAL THERAPY LLC
Doing business as
Holistic Orthopedics
Practice address
2205 N 45TH St
Seattle, WA 98103-6903
Phone
(206) 604-4707
Fax
(206) 367-9203
NPI assigned
Dec 11, 2013
Last updated
May 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Molly Goodman Allison, OTNPI 1255479382
Title
Owner
Phone
(206) 604-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

2205 N 45TH St
Seattle, WA 98103-6903

Mailing address

2205 N 45TH St
Seattle, WA 98103-6903
Phone (206) 604-4707

Other identifiers 1

IdentifierTypeStateIssuer
355981OtherWALABOR & INDUSTRIES WORKERS COMPENSATION

Other names 1

  • Holistic Orthopedics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140520001277 WA Part B Supplier - Clinic/Group Practice 3072736065 Receives reassigned benefits from 7 practitioners
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

2205 N 45th St
Seattle, WA 98103
Phone (206) 547-2500

911 N 145th St
Seattle, WA 98133
Phone (206) 604-4707

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1316378763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036903",
            "telephone_number": "206-604-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036903",
            "telephone_number": "206-604-4707",
            "fax_number": "206-367-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "GOODMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-604-4707",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES WORKERS COMPENSATION",
            "identifier": "355981",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 10, 2024; 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.

Verify at the official NPI Registry.