Active NPI
Kelly Donndelinger, MOTR/L
- Occupational Therapist
- Seattle, WA
National Provider Identifier
1396175253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60713087
- Practice address
- 925 9TH Ave
Seattle, WA 98104 - Phone
- (206) 947-6637
- NPI assigned
- Nov 13, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60713087 | WA | Primary |
| Occupational Therapist | 225X00000X | 104434 | MN |
Addresses
Primary practice location
925 9TH Ave
Seattle, WA 98104
Mailing address
17156 30TH Ave NE
Lake Forest Park, WA 98155-5314
Phone (206) 947-6637
Other practice location 1
2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695
Other names 1
- Kelly Baker
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 |
|---|---|---|---|
| OT60713087 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent Physical Therapy & Sports Performance Center LLC | Past | Accepting new patients | |
| Engineered Sports 2 PLLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Marysville, WA
- NPI 1467056432
-
- Physical Therapy Clinic/Center
- Everett, WA
- NPI 1013107549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1396175253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17156 30TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981555314",
"telephone_number": "206-947-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98104",
"telephone_number": "206-947-6637"
}
],
"practiceLocations": [
{
"address_1": "2205 Wall St",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982013761",
"country_code": "US",
"telephone_number": "425-512-8695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNDELINGER",
"first_name": "KELLY",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60713087",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104434",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "BAKER",
"credential": "MOTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.