Individual provider Active NPI

Anna H Christopherson, OTR/L

  • Occupational Therapist
  • Everett, WA
National Provider Identifier
1336304989
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00004575 Issued in WA
Practice address
1515 Pacific Ave
Suite 201
Everett, WA 98201-4001
Phone
(425) 374-2846
Fax
(425) 374-3272
NPI assigned
Jul 23, 2008
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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 OT00004575 WA Primary

Addresses

Primary practice location

1515 Pacific Ave
Suite 201
Everett, WA 98201-4001

Mailing address

1519 132ND St SE
Suite a
Everett, WA 98208-7203
Phone (425) 357-9380

Other identifiers 3

IdentifierTypeStateIssuer
0292526OtherWAL & I
0292530OtherWAL & I
0292520OtherWAL & I

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120515000177 WA Practitioner - Occupational Therapist in Private Practice 0840453650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Hand Surgery Group PCGroup PAC ID 2365339637, 13 clinicians

Practice addresses (Care Compare)

600 Broadway
Suite 440
Seattle, WA 98122-5377
Phone (206) 292-6252

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00004575WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Hand Surgery Group PC CurrentSince Feb 20, 2015 Accepting new patients
Seattle Hand Surgery Group PC CurrentSince Feb 20, 2015 Accepting new patients
Integrated Rehab Group Limited Partnership Occupational Therapist Past Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist Past Accepting new patients

Locations

600 Broadway
Ste 440
Seattle, WA 98122
Phone (206) 292-6252

Interoperability endpoints

  • Direct secure messaging: achristopherson@seattlehand.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1336304989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-357-9380",
            "fax_number": "425-357-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 PACIFIC AVE",
            "address_2": "SUITE 201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014001",
            "telephone_number": "425-374-2846",
            "fax_number": "425-374-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTOPHERSON",
        "first_name": "ANNA",
        "middle_name": "H",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0292526",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0292530",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0292520",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.