Individual provider Active NPI

Kaitlin Watson, MS OTR/L

  • Occupational Therapist
  • Colfax, WA
National Provider Identifier
1396983425
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4516 Issued in WA
Practice address
1150 W Fairview St
Colfax, WA 99111-9580
Phone
(509) 397-4603
NPI assigned
Jan 27, 2009
Last updated
Jan 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 4516 WA Primary
Occupational Therapist 225X00000X 861 ID

Addresses

Primary practice location

1150 W Fairview St
Colfax, WA 99111-9580

Mailing address

1150 W Fairview St
Colfax, WA 99111-9580
Phone (509) 397-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201002906 WA Practitioner - Occupational Therapist in Private Practice 4385137108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1620 SE Summit CT
Pullman, WA 99163-5519
Phone (509) 332-5106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
861IDMDOccupational Therapist
4516WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County Occupational Therapist CurrentSince Nov 1, 2025 Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

1620 SE Summit Ct
Pullman, WA 99163
Phone (509) 332-5106

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1396983425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119580",
            "telephone_number": "509-397-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W FAIRVIEW ST",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991119580",
            "telephone_number": "509-397-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KAITLIN",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "4516",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colfax, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.