Active NPI
Rachel C Lagrange, OT
- Occupational Therapist
- Shoreline, WA
National Provider Identifier
1457591794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60041845
- Practice address
- 816 NE 190TH St
Shoreline, WA 98155-2249 - Phone
- (206) 364-3777
- Fax
- (206) 364-3999
- NPI assigned
- Feb 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60041845 | WA | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT60041845 | WA |
Addresses
Primary practice location
816 NE 190TH St
Shoreline, WA 98155-2249
Mailing address
PO Box 55399
Shoreline, WA 98155-0399
Phone (206) 364-3777
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 |
|---|---|---|---|
| OT60041845 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kindering Center | Past | Accepting new patients | |
| Wonderland Child & Family Services | Occupational Therapist | Past | Accepting new patients |
| Wonderland Developmental Center | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Specialist
- Bellevue, WA
- NPI 1275670572
-
- Developmental Disabilities Clinic/Center
- Shoreline, WA
- NPI 1003478660
Occupational Therapist
-
- Speech-Language Pathologist
- Shoreline, WA
- NPI 1982779948
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314748800000",
"number": "1457591794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55399",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981550399",
"telephone_number": "206-364-3777",
"fax_number": "206-364-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 NE 190TH ST",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981552249",
"telephone_number": "206-364-3777",
"fax_number": "206-364-3999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGRANGE",
"first_name": "RACHEL",
"middle_name": "C",
"name_prefix": "Miss",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-26",
"last_updated": "2011-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60041845",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT60041845",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.