Erika Bakner, OT

Individual provider Active NPI Occupational Therapist · Spanaway, WA

NPI 1568094738 · NPPES record last updated Mar 9, 2020

Key facts

NPI
1568094738
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT61033110 (WA)
Practice address
19321 Mountain Hwy E # 100
Spanaway, WA 98387-8450
Phone
(253) 846-8618
Fax
(253) 846-8126
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health System (2,312 clinicians)

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

3209 S 23Rd St
Suite 100
Tacoma, WA 98405-1602
Phone (253) 459-6999

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200326000845 WA Practitioner - Occupational Therapist in Private Practice 0648609644 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT61033110WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current
since Mar 2, 2020
Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Current
since Mar 2, 2020
Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61033110 WA Yes

Addresses

Primary practice location

19321 Mountain Hwy E # 100
Spanaway, WA 98387-8450

Mailing address

PO Box 5299
Ms: 737-3-Pcon
Tacoma, WA 98415
Phone (971) 241-2804

Other providers in Spanaway, WA

All providers in Spanaway, WA · Occupational Therapist in Washington

Sources for this page

Verify at the official NPI Registry.