Active NPI
Jessica Markowitz, OT
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1396838967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003968
- Practice address
- 111 Market St NE
Suite 108
Olympia, WA 98501 - Phone
- (360) 754-7085
- Fax
- (360) 754-3671
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00003968 | WA | Primary |
Addresses
Primary practice location
111 Market St NE
Suite 108
Olympia, WA 98501
Mailing address
1830 Bickford Ave
Suite 209
Snohomish, WA 98290
Phone (425) 330-0633
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3022MA | Other | WA | REGENCE BLUE SHIELD |
| 8447054 | Medicaid | WA | |
| 7225768 | Other | WA | AETNA |
| 0206430 | Other | WA | LABOR & INDUSTRY |
| 8940884 | Other | WA | L&I CRIME VICTIMS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00003968 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1396838967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 BICKFORD AVE",
"address_2": "SUITE 209",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "98290",
"telephone_number": "425-330-0633",
"fax_number": "360-568-7779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARKET ST NE",
"address_2": "SUITE 108",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "98501",
"telephone_number": "360-754-7085",
"fax_number": "360-754-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARKOWITZ",
"first_name": "JESSICA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "3022MA",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8447054",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7225768",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRY",
"identifier": "0206430",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICTIMS",
"identifier": "8940884",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.