Individual provider Active NPI

Sierra Minton, MS, OTR/L

  • Occupational Therapist
  • Tacoma, WA
National Provider Identifier
1457896284
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61069716 Issued in WA
Practice address
4755 S 48TH St
Tacoma, WA 98409-1919
Phone
(253) 475-4611
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Occupational Therapist 225X00000X OT61069716 WA Primary

Addresses

Primary practice location

4755 S 48TH St
Tacoma, WA 98409-1919

Mailing address

2515 4TH Ave Apt 209
Seattle, WA 98121-1441
Phone (360) 878-7072

Other practice location 1

1027 Park Ln
Piedmont, CA 94610-1124
Phone (415) 748-8052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218001033 WA Practitioner - Occupational Therapist in Private Practice 9436508363 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Wa PCGroup PAC ID 4284015330, 48 clinicians

Practice addresses (Care Compare)

121 112TH Ave NE
Bellevue, WA 98004-5807
Phone (425) 384-4257

15928 NE 8TH St
Bellevue, WA 98008-3908
Phone (425) 384-4237

23599 SE Issaquah Fall City Rd
Issaquah, WA 98029-9265
Phone (425) 384-4262

2450 Newport Way NW
Issaquah, WA 98027-4046
Phone (425) 225-7282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Occupational Therapy LLC Occupational Therapist CurrentSince Oct 3, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 3, 2026 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Occupational Therapist CurrentSince Feb 3, 2026 Accepting new patients
On Site Dermatology of Washington PLLC Past Accepting new patients

Locations

2205 N 45th St
Seattle, WA 98103
Phone (206) 547-2500

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1457896284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 4TH AVE APT 209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211441",
            "telephone_number": "360-878-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 S 48TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091919",
            "telephone_number": "253-475-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1027 Park Ln",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "CA",
            "postal_code": "946101124",
            "country_code": "US",
            "telephone_number": "415-748-8052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTON",
        "first_name": "SIERRA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61069716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.