Valerie Bautista, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT60042130 Issued in WA

Practice address

7829 NE Esperione LN
Bainbridge Island, WA 98110-2650

Phone

(206) 972-0648

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bainbridge Pediatric Therapy

  • Pediatric Occupational Therapist
  • Bainbridge Island, WA
  • NPI 1275171498

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1477668366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7829 NE ESPERIONE LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102650",
            "telephone_number": "206-972-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7829 NE ESPERIONE LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102650",
            "telephone_number": "206-972-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "VALERIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60042130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1397",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bainbridge Vision Inc PS
• Laura West Baker, LMHC
• Michelle Bale
• Lucija Banic
• Jillian Barry, OT
• Beacon Couple & Family Therapy
• David L Beck, MD
• Alexander Dean Beekman, DPT
• Behavioral Medicine Northwest, P.S.
• Bell Thompson, PLLC

• Pediatric Occupational Therapist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.