Active NPI
Katheryn M McDonald, COTA
- Occupational Therapy Assistant
- Seattle, WA
National Provider Identifier
1407167455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OC 00000616
- Practice address
- 3223 1St Ave S Ste C
Seattle, WA 98134-1850 - Phone
- (206) 624-3651
- NPI assigned
- Jun 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | OC 00000616 | WA | Primary |
Addresses
Primary practice location
3223 1St Ave S Ste C
Seattle, WA 98134-1850
Mailing address
3223 1St Ave S Ste C
Seattle, WA 98134-1850
Phone (206) 624-3651
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 |
|---|---|---|---|
| OC 00000616 | WA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1407167455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 1ST AVE S STE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341850",
"telephone_number": "206-624-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 1ST AVE S STE C",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981341850",
"telephone_number": "206-624-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KATHERYN",
"middle_name": "M",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC 00000616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.