Active NPI
Heather Nelson, OT
- Occupational Therapist
- Olympia, WA
National Provider Identifier
1598527400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003764
- Practice address
- 1113 Legion Way SE
Olympia, WA 98501-1652 - Phone
- (360) 789-2332
- Fax
- (360) 918-8274
- NPI assigned
- Jan 25, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00003764 | WA | Primary |
Addresses
Primary practice location
1113 Legion Way SE
Olympia, WA 98501-1652
Mailing address
2711 Burnaby Park Loop SE
Olympia, WA 98501-3891
Phone (360) 359-1467
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 |
|---|---|---|---|
| OT00003764 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1598527400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 BURNABY PARK LOOP SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985013891",
"telephone_number": "360-359-1467",
"fax_number": "360-918-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 LEGION WAY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985011652",
"telephone_number": "360-789-2332",
"fax_number": "360-918-8274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "HEATHER",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
- Neighborcare Health (Neighborcare Health Dental at Providence St. Peter)
- Neighborhood Physical Therapy PLLC
- Travis Colin Nellor
- Ashley Nicole-Kirley Nelson, LMFT
- Braden Kyle Nelson, DO
- Jay Woodworth Nelson, O.D.
- Kess Kintla Nelson
- Nancy P Nelson, ARNP
- Makenna Elizabeth Nero
- Trista Lynn Nesbit-Evans, MA00018619
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.