Active NPI
Allyson M. Kessary, OTR/L, CHT
- Occupational Therapist
- Kirkland, WA
National Provider Identifier
1457789372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00001873
- Practice address
- 12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064 - Phone
- (425) 823-4224
- Fax
- (425) 820-8975
- NPI assigned
- Oct 31, 2013
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT00001873 | WA | |
| Occupational Therapist | 225X00000X | OT00001873 | WA | Primary |
Addresses
Primary practice location
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Mailing address
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224
Other practice location 1
510 8th Ave NE Ste 340
Issaquah, WA 98029
Phone (425) 313-3055
Other practice location 2
1810 116th Ave NE Ste D4
Bellevue, WA 98004-3058
Phone (425) 283-5230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2115793 | Medicaid | WA |
Other names 1
- Allyson M. Jones
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00001873 | WA | MD | Hand Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1457789372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343064",
"telephone_number": "425-823-4224",
"fax_number": "425-820-8975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE STE H220",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343064",
"telephone_number": "425-823-4224",
"fax_number": "425-820-8975"
}
],
"practiceLocations": [
{
"address_1": "510 8th Ave NE Ste 340",
"address_purpose": "LOCATION",
"city": "Issaquah",
"state": "WA",
"postal_code": "98029",
"country_code": "US",
"telephone_number": "425-313-3055",
"fax_number": "425-313-3051",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1810 116th Ave NE Ste D4",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980043058",
"country_code": "US",
"telephone_number": "425-283-5230",
"fax_number": "425-283-5236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESSARY",
"first_name": "ALLYSON",
"middle_name": "M.",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00001873",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2115793",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLYSON",
"last_name": "JONES",
"middle_name": "M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.