Laura Ella Baumgardner

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60615300 Issued in WA

Practice address

21651 E Country Vista Dr
Liberty Lake, WA 99019-7708

Phone

(509) 822-7834

NPI assigned

Jun 2, 2025

Last updated

Jun 2, 2025By 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

Other names 1

• Laura Ella Burch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lake City Physical Therapy P a

  • Physical Therapist
  • Spokane, WA
  • NPI 1588810659

  Occupational Therapist

  NPD
• Lake City Physical Therapy P a

  • Physical Therapist
  • Coeur d'Alene, ID
  • NPI 1952521411

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1619860244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351180",
            "telephone_number": "208-966-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21651 E COUNTRY VISTA DR",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197708",
            "telephone_number": "509-822-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUMGARDNER",
        "first_name": "LAURA",
        "middle_name": "ELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60615300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BURCH",
            "middle_name": "ELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carrie Lynn Ayer, DMD
• Gloria Esmeralda Badillo, N.D.
• Drostan Gregg Baker, MD
• Caryn Baksis, LMHCA
• Barrett Family Chiropractic
• Pamela Christine Baumgartner, OROFACIAL MYOLOGIST
• Samuel Beck, MD
• Becca Mae Bellamy, LAT, ATC, LMT
• Bellevue Healthcare II Inc (Bellevue Healthcare Inland NW II Inc)
• Christina Benefiel, BSN, RN, IBCLC

• Occupational Therapist in Liberty Lake, WA
• Providers in Liberty Lake, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.