Julia Icenogle, MOT, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

312111 Issued in OR

Practice address

18151 68TH Ave NE Ste 100
Kenmore, WA 98028-2835

Phone

(425) 686-6760

Fax

(425) 686-6763

NPI assigned

Jan 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

King County Public Hospital District No 2Group PAC ID 7618880097, 586 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.73 of 100Reported as apm

Quality

73.46

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• King County Public Hospital District No 2

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment Care Compare group NPD
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Occupational Therapist

  Medicare reassignment NPD
• King County Public Hospital District No. 2

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946

  Occupational Therapist

  NPD
• King County Public Hospital District No. 2

  • Clinic/Center
  • Redmond, WA
  • NPI 1750612883
  NPD
• Public Hospital District No 2

  • Family Medicine Physician
  • Sammamish, WA
  • NPI 1417058694
  NPD
• Snohomish Physical Therapy PLLC

  • Occupational Therapist
  • Bothell, WA
  • NPI 1245696814
  NPD
• King County Public Hospital District No 2

  • Obstetrics Physician
  • Kirkland, WA
  • NPI 1891883435
  NPD (past)
• King County Public Hospital District No 2

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1902907165
  NPD (past)
• Pinnacle Orthotics, LLC

  • Customized Equipment (DME)
  • Eugene, OR
  • NPI 1639650054
  NPD (past)

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1437571890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18151 68TH AVE NE STE 100",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282835",
            "telephone_number": "425-686-6760",
            "fax_number": "425-686-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18151 68TH AVE NE STE 100",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980282835",
            "telephone_number": "425-686-6760",
            "fax_number": "425-686-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICENOGLE",
        "first_name": "JULIA",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "312111",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60399402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Wyatt Hooper, ND
• Nolan P Hoppe-Leonard, LMT
• Julia Maxine Howard
• David Huang
• Elizabeth Scranton Hunter, MA
• Implant & Periodontal Associates
• Implant & Periodontal Associates NW Dr Jon Tarleton DDS MSD
• Integral Foundations Physical Therapy PLLC
• Clare Anne Isaacson, MA LMHC
• Rebecca Ivy

• Hand Occupational Therapist in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.