Mary Kaitlin Thompson, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Sultan, WA
NPI 1477090819 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1477090819
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 60862259 (WA)
- Practice address
- 501 Date Ave
Sultan, WA 98294 - Phone
- (360) 793-9830
- NPI assigned
- Jan 24, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60862259 | WA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60862259 | WA | Yes |
Addresses
Primary practice location
501 Date Ave
Sultan, WA 98294
Mailing address
22725 22ND Dr SE Apt A302
Bothell, WA 98021-7226
Phone (304) 859-4228
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60862259 | Other | WA | OT LICENSE |
Other providers in Sultan, WA
- Rodger Stuart
- Sultan Pharmacy & Natural Care LLC
- Sultan School District # 311
- Summit Rehabilitation, LLC
- Carol Anne Sweeten
- Ingrid Thorstenson
- Sharone Trail
- Unified Behavioral Health
- Nicole Verbeck
- Vicki Lynn Vincent
All providers in Sultan, WA · Occupational Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.