Active NPI
Patricia Estelle Kelso Ocean, MSOT, OTR/L, LMT,
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1548319643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60378531
- Practice address
- 404 7TH Ave SE
Olympia, WA 98501-1457 - Phone
- (360) 507-0524
- NPI assigned
- Jan 9, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00016377 | WA | |
| Occupational Therapist | 225X00000X | OT60378531 | WA | Primary |
Addresses
Primary practice location
404 7TH Ave SE
Olympia, WA 98501-1457
Mailing address
3136 Pear St SE
Olympia, WA 98501-3536
Phone (360) 507-0524
Other practice location 1
3912 Martin Way E Ste A
Olympia, WA 98506-5220
Phone (360) 507-0524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161131 | Other | WA | LABOR AND INDUSTRIES |
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 |
|---|---|---|---|
| MA00016377 | WA | MD | Massage Therapist |
| OT60378531 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1548319643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3136 PEAR ST SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013536",
"telephone_number": "360-507-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 7TH AVE SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011457",
"telephone_number": "360-507-0524"
}
],
"practiceLocations": [
{
"address_1": "3912 Martin Way E Ste A",
"address_purpose": "LOCATION",
"city": "Olympia",
"state": "WA",
"postal_code": "985065220",
"country_code": "US",
"telephone_number": "360-507-0524",
"fax_number": "360-350-0723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OCEAN",
"first_name": "PATRICIA",
"middle_name": "ESTELLE KELSO",
"name_prefix": "Ms.",
"credential": "MSOT, OTR/L, LMT,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00016377",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60378531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "161131",
"state": "WA"
}
],
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.