Individual provider Active NPI

Jill Marie Davidson, MSOT, OTR/L

  • Hand Occupational Therapist
  • Mukilteo, WA
National Provider Identifier
1437933454
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
12121 Harbour Reach Dr Ste 100
Mukilteo, WA 98275-5314
Phone
(360) 525-1710
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

12121 Harbour Reach Dr Ste 100
Mukilteo, WA 98275-5314

Mailing address

10302 62ND PL W
Mukilteo, WA 98275-4634
Phone (425) 501-6735

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120000846 WA Practitioner - Occupational Therapist in Private Practice 4385092048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cascade Rehabilitation Associates PLLCGroup PAC ID 2567375728, 16 clinicians
Summit Rehabilitation PLLCGroup PAC ID 9133012362, 54 clinicians
Hands for Living LLCGroup PAC ID 4284891656, 14 clinicians

Practice addresses (Care Compare)

12121 Harbour Reach Dr
Suite 100
Mukilteo, WA 98275-5314
Phone (425) 493-8313

19221 36TH Ave W
Suite 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943

9514 4TH St NE
Unit 101
Lake Stevens, WA 98258-1937
Phone (425) 397-2327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hands for Living LLC Hand CurrentSince Feb 9, 2026 Accepting new patients
Cascade Rehabilitation Associates, PLLC Hand CurrentSince Sep 11, 2023 Accepting new patients
Summit Rehabilitation PLLC Hand CurrentSince Jan 10, 2025 Accepting new patients
Summit Rehabilitation PLLC CurrentSince Jan 10, 2025 Accepting new patients
Cascade Rehabilitation Associates, PLLC CurrentSince Sep 11, 2023 Accepting new patients

Locations

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

19221 36th Ave W
Ste 213
Lynnwood, WA 98036
Phone (425) 368-7943

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

16150 NE 85th St
Ste 116
Redmond, WA 98052
Phone (425) 881-1921

17223 Avondale Way NE
Redmond, WA 98052
Phone (425) 403-0232

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1437933454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 62ND PL W",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982754634",
            "telephone_number": "425-501-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 HARBOUR REACH DR STE 100",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982755314",
            "telephone_number": "360-525-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.