Individual provider Active NPI

Kacey Rebekah Higa, OT

  • Hand Occupational Therapist
  • Renton, WA
National Provider Identifier
1497466619
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT61451438 Issued in WA
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(425) 690-3650
Fax
(425) 656-9650
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61451438 WA
Occupational Therapist 225X00000X
Hand Occupational Therapist 225XH1200X OT61451438 WA Primary

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 690-3650

Other practice location 1

7120 Hayvenhurst Ave Ste 215
Van Nuys, CA 91406-3813
Phone (818) 785-9515

Other practice location 2

22110 Roscoe Blvd.
Suite 302
Canoga Park, CA 91304
Phone (818) 347-7110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230105002229 CA Practitioner - Occupational Therapist in Private Practice 6103296264 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61451438WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Center of Southern California Occupational Therapist CurrentSince Dec 9, 2022 Accepting new patients
Hand Center of Southern California Occupational Therapist PastSince Dec 1, 2022 Accepting new patients

Locations

7120 Hayvenhurst Ave
Ste 215
Van Nuys, CA 91406
Phone (818) 785-9515

22110 Roscoe Blvd
Ste 302
West Hills, CA 91304
Phone (818) 347-7110

Organizations & group practices 2

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1497466619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-690-3650",
            "fax_number": "425-656-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-690-3650",
            "fax_number": "425-656-9650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7120 Hayvenhurst Ave Ste 215",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063813",
            "country_code": "US",
            "telephone_number": "818-785-9515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22110 Roscoe Blvd.",
            "address_2": "Suite 302",
            "address_purpose": "LOCATION",
            "city": "Canoga Park",
            "state": "CA",
            "postal_code": "91304",
            "country_code": "US",
            "telephone_number": "818-347-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGA",
        "first_name": "KACEY",
        "middle_name": "REBEKAH",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61451438",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT61451438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.