Laura Ella Baumgardner
Individual provider Active NPI Occupational Therapist · Liberty Lake, WA
NPI 1619860244 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1619860244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT60615300 (WA)
- Practice address
- 21651 E Country Vista Dr
Liberty Lake, WA 99019-7708 - Phone
- (509) 822-7834
- NPI assigned
- Jun 2, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8238 N Government Way
Hayden, ID 83835-5034
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60615300 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Physical Therapy P a | Occupational Therapist | Current |
Accepting new patients |
| Lake City Physical Therapy P a | Occupational Therapist | Current |
Accepting new patients |
Locations
21651 E Country Vista Dr
Liberty Lake, WA 99019
Phone (509) 598-9402
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60615300 | WA | Yes |
Addresses
Primary practice location
21651 E Country Vista Dr
Liberty Lake, WA 99019-7708
Mailing address
PO Box 1180
Hayden, ID 83835-1180
Phone (208) 966-4176
Other names
- Laura Ella Burch
Other providers in Liberty Lake, WA
- Carrie Lynn Ayer
- Gloria Esmeralda Badillo
- Drostan Gregg Baker
- Caryn Baksis
- Barrett Family Chiropractic
- Pamela Christine Baumgartner
- Samuel Beck
- Becca Mae Bellamy
- Bellevue Healthcare II Inc
- Christina Benefiel
All providers in Liberty Lake, WA · Occupational Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.