Elizabeth Ann Walbridge, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 00000326 Issued in WA

Practice address

12033 SE 256TH St
Kent, WA 98030-6503

Phone

(253) 373-7664

NPI assigned

Sep 24, 2012

Last updated

Feb 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Libby Walbridge 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": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1356692941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12033 SE 256TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306503",
            "telephone_number": "253-373-7664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 SE 256TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306503",
            "telephone_number": "253-373-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALBRIDGE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 00000326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "WALBRIDGE",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer Wagner, LMHC, SUDPT
• Purity Waigwa
• Eric Wairimu
• Marion Waithaka, RN
• Irene Waithera, LPN
• Walgreen Co (Walgreens #03518)
• Walgreen Co (Walgreens #06304)
• Walgreen Co. (Walgreens #21432)
• Angela L Walker
• Danni Walker, HAIR REPLACEMENT TEC

• Occupational Therapy Assistant in Kent, WA
• Providers in Kent, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.