Eastside Therapy Associates LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00000754 Issued in WA

Legal business name

EASTSIDE THERAPY ASSOCIATES LLC

Doing business as

Eastside Occupational Therapy

Practice address

710 NW Juniper St
Suite 100
Issaquah, WA 98027-2717

Phone

(425) 830-0025

NPI assigned

Nov 7, 2014

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carol J. King, OTR/L

Title

Owner

Phone

(425) 830-0025

Specialties & licenses 1

Addresses

Other names 1

• Eastside Occupational Therapy Doing business as

Locations

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1356747034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NW JUNIPER ST",
            "address_2": "SUITE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272717",
            "telephone_number": "425-830-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NW JUNIPER ST",
            "address_2": "SUITE 100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272717",
            "telephone_number": "425-830-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE THERAPY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-830-0025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastside Ideal Health Issaquah, PLLC
• Eastside Insight, PLLC (Rose Gillis, PLLC)
• Eastside Medical Group, LLC
• Eastside Social Skills Therapy
• Eastside Social Skills Therapy LLC
• Eastside Therapy Services
• Jessica Lynn Ebberson
• Ryan Michael Ebisu, MD
• Katie Edwards
• David Ege, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.