Carolyn Van Der Meulen, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1714 Edgemoor LN
Everett, WA 98203-1663

Phone

(360) 347-6504

NPI assigned

Oct 23, 2021

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apple Physical Therapy, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Balanced Family Chiropractic, LLC

  dba Balanced Family

  • Multi-Specialty Clinic/Center
  • Lynnwood, WA
  • NPI 1346827664

  Occupational Therapist

  Medicare reassignment NPD
• Ironclad Human Performance PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1851216394
  NPD (past) Authorized official
• Apple Physical Therapy LLC

  dba ATI Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Mountlake Terrace, WA
  • NPI 1366746232

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1568126811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 EDGEMOOR LN",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031663",
            "telephone_number": "360-347-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 EDGEMOOR LN",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031663",
            "telephone_number": "360-347-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032317",
            "country_code": "US",
            "telephone_number": "425-258-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DER MEULEN",
        "first_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Vincent Vallejos
• Shelly Vallem, LMT
• Trisha Raelynn Valley, OT/L
• Amanda Vallone
• Juliana Caitlin Van de Krol, NP
• Jodie Nicole Van Diest, PHARMD, BCCCP
• Patrice Marie Van Duine, ARNP, M.ED, PMHNP-BC
• Rachel Van Duker, BA
• Karen E Van Hoose, RD CD
• Dustin Van Horn

• Occupational Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.

Verify at the official NPI Registry.