Active NPI
Patricia J Meredith, OT
- Pediatric Occupational Therapist
- Issaquah, WA
National Provider Identifier
1447586169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT60296946
- Practice address
- 710 NW Juniper St
Suite 106
Issaquah, WA 98027-2717 - Phone
- (425) 392-2346
- Fax
- (425) 392-0185
- NPI assigned
- Oct 30, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT60296946 | WA | Primary |
Addresses
Primary practice location
710 NW Juniper St
Suite 106
Issaquah, WA 98027-2717
Mailing address
710 NW Juniper St
Suite 106
Issaquah, WA 98027-2717
Phone (425) 392-2346
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 |
|---|---|---|---|
| OT60296946 | WA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastside Children'S Therapy | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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": "1256860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1447586169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST",
"address_2": "SUITE 106",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-392-2346",
"fax_number": "425-392-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 NW JUNIPER ST",
"address_2": "SUITE 106",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980272717",
"telephone_number": "425-392-2346",
"fax_number": "425-392-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "PATRICIA",
"middle_name": "J",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-30",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT60296946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.