Individual provider Active NPI

Caitlin Zita, MOTR/L

  • Occupational Therapist
  • Walla Walla, WA
National Provider Identifier
1508274994
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60768189 Issued in WA
Practice address
1025 S 2ND Ave
Walla Walla, WA 99362-4116
Phone
(095) 897-2100
Fax
(509) 897-5752
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1361 ND
Occupational Therapist 225X00000X OT60768189 WA Primary

Addresses

Primary practice location

1025 S 2ND Ave
Walla Walla, WA 99362-4116

Mailing address

1025 S 2ND Ave
Walla Walla, WA 99362-4116
Phone (095) 897-2100

Other practice location 1

300 N 7th St
Bismarck, ND 58501-4439
Phone (701) 323-6153

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730002550 WA Practitioner - Occupational Therapist in Private Practice 4183950033 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT60768189WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince May 27, 2019 Accepting new patients
Providence Health & Services - Washington CurrentSince May 27, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1111 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 522-0100

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

1025 S 2nd Ave
Walla Walla, WA 99362
Phone (509) 525-0480

Organizations & group practices 3

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1508274994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "095-897-2100",
            "fax_number": "509-897-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S 2ND AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624116",
            "telephone_number": "095-897-2100",
            "fax_number": "509-897-5752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014439",
            "country_code": "US",
            "telephone_number": "701-323-6153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZITA",
        "first_name": "CAITLIN",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "1361",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60768189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.