Active NPI
Kari Wathen Torres
- Pediatric Occupational Therapist
- Issaquah, WA
National Provider Identifier
1376903237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT60672975
- Practice address
- 710 NW Juniper St Ste 100
Issaquah, WA 98027 - Phone
- (425) 369-4702
- NPI assigned
- Mar 3, 2016
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 15325 | CA | |
| Pediatric Occupational Therapist | 225XP0200X | OT60672975 | WA | Primary |
Addresses
Primary practice location
710 NW Juniper St Ste 100
Issaquah, WA 98027
Mailing address
233 Orangefair Mall
Fullerton, CA 92832-3038
Other practice location 1
233 Orangefair Mall
Fullerton, CA 92832-3038
Phone (714) 870-6116
Other names 1
- Kari Leah Wathen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60672975 | WA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy for Kids, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1376903237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 ORANGEFAIR MALL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928323038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST STE 100",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "425-369-4702"
}
],
"practiceLocations": [
{
"address_1": "233 Orangefair Mall",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928323038",
"country_code": "US",
"telephone_number": "714-870-6116",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "KARI",
"middle_name": "WATHEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "15325",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT60672975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KARI",
"last_name": "WATHEN",
"middle_name": "LEAH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.