Kalaivani Moodaly, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002234 Issued in WA

Practice address

2800 Northup Way
#200
Bellevue, WA 98004-1440

Phone

(425) 827-5877

Fax

(425) 827-5843

NPI assigned

Feb 21, 2008

Last updated

Jan 24, 2011By 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 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Pacific Handworks Inc., P.S.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Bellevue, WA
  • NPI 1255516092
  NPD (past) Authorized official
• Pacific Handworks Inc., P.S.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Bellevue, WA
  • NPI 1114026648

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1588833776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 132ND ST SE",
            "address_2": "SUITE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982087203",
            "telephone_number": "425-357-9380",
            "fax_number": "425-357-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 NORTHUP WAY",
            "address_2": "#200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041440",
            "telephone_number": "425-827-5877",
            "fax_number": "425-827-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODALY",
        "first_name": "KALAIVANI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002234",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00002234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0122MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0277MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0444MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9260MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0278MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "0268161",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "0279MO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0257871",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montaland McGrath Chiropractic Center, PS, Inc
• Alexie Estelle Montaland, D.C
• Kyle Montalto, OTR/L
• Matasha Montgomery
• Michelle L Montgomery, LMP
• Audrey Jung-Ae Moon
• Jennifer Moon
• Joyce Moon, RD, RDN
• Moonflower Integrative Medicine
• Corbin Moore

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.