Active NPI
Irene Elizabeth Infante, OT
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1497071344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00001630
- Practice address
- 1805 53Rd Loop SE
Olympia, WA 98501-8003 - Phone
- (360) 584-0221
- NPI assigned
- Apr 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00001630 | WA | Primary |
Addresses
Primary practice location
1805 53Rd Loop SE
Olympia, WA 98501-8003
Mailing address
PO Box 11128
Olympia, WA 98508-1128
Phone (360) 584-0221
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00001630 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bring Motion Back, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1271548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271548800000",
"number": "1497071344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11128",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985081128",
"telephone_number": "360-584-0221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 53RD LOOP SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985018003",
"telephone_number": "360-584-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INFANTE",
"first_name": "IRENE",
"middle_name": "ELIZABETH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-18",
"last_updated": "2010-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00001630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.