Active NPI
Amy Susannah Walters, OCCUPATIONAL THERAPY
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1598734360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00002912
- Practice address
- 9040A Jackson Avenue
Tacoma, WA 98431 - Phone
- (253) 968-7924
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 | OT00002912 | WA | Primary |
Addresses
Primary practice location
9040A Jackson Avenue
Tacoma, WA 98431
Mailing address
3115 N 9TH St
Tacoma, WA 98406-6222
Phone (425) 499-4785
Other practice location 1
Edis - Hhu
CMR 470
Apo, AE 09165
DE
Phone 011496181888213
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 |
|---|---|---|---|
| OT00002912 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1598734360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 N 9TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984066222",
"telephone_number": "425-499-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040A JACKSON AVENUE",
"city": "TACOMA",
"state": "WA",
"postal_code": "98431",
"telephone_number": "253-968-7924"
}
],
"practiceLocations": [
{
"address_1": "EDIS - HHU",
"address_2": "CMR 470",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "09165",
"country_code": "DE",
"telephone_number": "011496181888213",
"country_name": "Germany",
"address_type": "FGN"
}
],
"basic": {
"last_name": "WALTERS",
"first_name": "AMY",
"middle_name": "SUSANNAH",
"name_prefix": "Ms.",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00002912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.