Karis Ann Roberts, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Buckley, WA
NPI 1427399013 · NPPES record last updated Mar 7, 2013
Key facts
- NPI
- 1427399013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OC60174243 (WA)
- Practice address
- 130 S Cottage St
Buckley, WA 98321 - Phone
- (253) 227-4114
- NPI assigned
- Mar 7, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC60174243 | WA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC60174243 | WA | Yes |
Addresses
Primary practice location
130 S Cottage St
Buckley, WA 98321
Mailing address
130 S Cottage St
Buckley, WA 98321
Phone (253) 227-4114
Other providers in Buckley, WA
- Rainier State School
- James Thomas Raugust
- Michelle Marie Rickard
- Allen Arthur Ries
- Jennifer Rigg
- Stacy Lea Robinson
- Natalie Britten Rose
- Kelsey Michelle Ryneski
- Kelly Jo Salyers
- Tawny Michelle Sanabria
All providers in Buckley, WA · Occupational Therapy Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.