Kaitlin Marie Galvagno, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61097037 Issued in WA

Practice address

21603 84TH Ave W
Edmonds, WA 98026-7818

Phone

(206) 877-2516

NPI assigned

Sep 14, 2020

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

Other names 1

• Katie Marie Galvagno Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1316552565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 NE 119TH WAY APT E516",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980347075",
            "telephone_number": "206-877-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21603 84TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267818",
            "telephone_number": "206-877-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVAGNO",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61097037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "GALVAGNO",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rhonda Furlong, LMHC
• James Furrow, MFT
• Ekram A Gad
• Brittany N Gallaher, D.O.
• Margarita Gallo de la Torre, MC INTERPRETER
• Jade Wan-Theng Gan, DDS
• Matthew D Gandall
• Gandis G Mazeika MD PS
• Gandis G Mazeika MD PS
• Gandis G Mazeika MD PS

• Occupational Therapist in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.