Active NPI
Kristi Mendes, OT
- Hand Occupational Therapist
- Kent, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT60572227
- Practice address
- 25012 104TH Ave SE
Ste C
Kent, WA 98030-2821 - Phone
- (253) 856-3477
- Fax
- (253) 856-3478
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT60572227 | WA | Primary |
Addresses
Primary practice location
25012 104TH Ave SE
Ste C
Kent, WA 98030-2821
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9411 192ND Ave E BLDG D
Suite E
Bonney Lake, WA 98391-1864
Phone (253) 268-5105
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Hand | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Hand | Current | Accepting new patients |
| Back to Work Prevention & Physical Therapy, Inc. | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Hand | Current | Accepting new patients |
Locations
9411 192nd Ave E
Bldg D
Bonney Lake, WA 98391
Phone (253) 268-5105
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
3900 E Valley Rd
Ste 103
Renton, WA 98057
Phone (425) 207-3505
5620 Rainier Ave S
Ste 102
Seattle, WA 98118
Phone (206) 535-8061
201 W North River Dr
Ste 510
Spokane, WA 99201
Phone (509) 323-0066
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
Hand
-
- Physical Therapy Clinic/Center
- Seattle, WA
- NPI 1730491259
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Hand
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1558731984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2222",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25012 104TH AVE SE",
"address_2": "STE C",
"city": "KENT",
"state": "WA",
"postal_code": "980302821",
"telephone_number": "253-856-3477",
"fax_number": "253-856-3478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDES",
"first_name": "KRISTI",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT60572227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.