Kathleen Jacobson, OTR/L, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00011077 Issued in WA

Practice address

2265 N 56TH St # 2B
Seattle, WA 98103-6209

Phone

(206) 295-3088

NPI assigned

Jul 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1508484387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 NE 57TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052244",
            "telephone_number": "206-295-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 N 56TH ST # 2B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036209",
            "telephone_number": "206-295-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "KATHLEEN",
        "credential": "OTR/L, LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60067865",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00011077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Bernard Jacobson, LMP
• Diana Mary Jacobson, MSW, LICSW
• Elizabeth N Jacobson, M.D.
• Jedediah H Jacobson
• Julie Jacobson, MD
• Lawrence Mitchell Jacobson, LICSW
• Samantha Victoria Jacobson, PHD
• Savannah Jacobson, CPC
• Valerie R Jacobson
• Vallie Jacobson, ARNP

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.