Active NPI
Kate E Sisco, OTR-L
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1336228261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003444
- Practice address
- 3901 Capital Mall Dr SW
Suite D
Olympia, WA 98502-8654 - Phone
- (360) 709-6221
- Fax
- (360) 359-4727
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT00003444 | WA | |
| Occupational Therapist | 225X00000X | OT00003444 | WA | Primary |
Addresses
Primary practice location
3901 Capital Mall Dr SW
Suite D
Olympia, WA 98502-8654
Mailing address
PO Box 368
Olympia, WA 98507-0368
Phone (360) 413-3842
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4169HA | Other | WA | REGENCE BLUE SHIELD |
| 710883456-98502-A003 | Other | WA | TRICARE |
| 6840KI | Other | WA | REGENCE |
| 710883456-98503-A006 | Other | WA | TRICARE |
| 6910HA | Other | WA | REGENCE BLUE SHIELD |
| 8943009 | Other | WA | L&I CRIME VICTIMS |
| 0214998 | Other | WA | DEPT. OF LABOR & INDUSTRY |
| 2179HA | Other | WA | REGENCE BLUE SHIELD |
| 8341331 | Medicaid | WA | |
| 8430KI | Other | WA | REGENCE |
| 710883456-98512-A004 | Other | WA | TRICARE |
| 7328573 | Other | WA | AETNA |
| P00639804 | Other | WA | RAILROAD MEDICARE |
Other names 1
- Kate Elizabeth Hanna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 Point Fosdick Dr
Suite 101
Gig Harbor, WA 98335-1703
Phone (253) 851-7472
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.86 of 100
- Quality
- 75.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00003444 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Occupational Therapist | Current | Accepting new patients |
| Hand Therapy Specialist, LLC | Past | Accepting new patients | |
| Northwest Center for Sports Medicine & Physical Therapy, Inc. | Past | Accepting new patients | |
| Hand Therapy Specialist, LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
4411 Point Fosdick Dr
Ste 101
Gig Harbor, WA 98335
Phone (253) 851-7472
Organizations & group practices 4
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.
-
- Physical Therapist
- Gig Harbor, WA
- NPI 1982755070
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Olympia, WA
- NPI 1205011970
-
- Specialist
- Olympia, WA
- NPI 1659461341
-
- Physical Therapist
- Tacoma, WA
- NPI 1225582844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1336228261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 368",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985070368",
"telephone_number": "360-413-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CAPITAL MALL DR SW",
"address_2": "SUITE D",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985028654",
"telephone_number": "360-709-6221",
"fax_number": "360-359-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISCO",
"first_name": "KATE",
"middle_name": "E",
"credential": "OTR-L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00003444",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "4169HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98502-A003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "6840KI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98503-A006",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "6910HA",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8943009",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0214998",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "2179HA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341331",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "8430KI",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "710883456-98512-A004",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7328573",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00639804",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATE",
"last_name": "HANNA",
"middle_name": "ELIZABETH",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.