Preston Lake, OTD, OTR

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

Practice address

6912 220TH St SW Ste 205
Mountlake Terrace, WA 98043-2169

Phone

(425) 712-1978

NPI assigned

Jun 25, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1467378331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 54TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981184702",
            "telephone_number": "951-440-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 205",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-712-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKE",
        "first_name": "PRESTON",
        "name_prefix": "Mr.",
        "credential": "OTD, OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Hand Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.