Individual provider Active NPI

Margaret Bodnovich, OTR/L

  • Pediatric Occupational Therapist
  • Kent, WA
National Provider Identifier
1598679235
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT.OT.70153335.PORTA Issued in WA
Practice address
12033 SE 256TH St
Kent, WA 98030-6643
Phone
(253) 373-7000
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT.OT.70153335.PORTA WA Primary

Addresses

Primary practice location

12033 SE 256TH St
Kent, WA 98030-6643

Mailing address

1502 Fawcett Ave Apt 1611
Tacoma, WA 98402-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1598679235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FAWCETT AVE APT 1611",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984025509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12033 SE 256TH ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980306643",
            "telephone_number": "253-373-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODNOVICH",
        "first_name": "MARGARET",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT.OT.70153335.PORTA",
            "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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.