Individual provider Active NPI

Billie Jean Otter, O.T.

  • Occupational Therapist
  • Maple Valley, WA
National Provider Identifier
1629486121
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 60408508 Issued in WA
Practice address
22443 SE 240TH St
Ste 206
Maple Valley, WA 98038-5898
Phone
(425) 358-3070
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 60408508 WA Primary

Addresses

Primary practice location

22443 SE 240TH St
Ste 206
Maple Valley, WA 98038-5898

Mailing address

22443 SE 240TH St
Ste 206
Maple Valley, WA 98038-5898
Phone (425) 358-3070

Other names 1

  • Miss Billie Jean Bentley Former name

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

LicenseStateTypeSpecialty
OT 60408508WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Relaxing Resources Current Accepting new patients

Locations

22443 SE 240th St
Ste 206
Maple Valley, WA 98038
Phone (425) 358-3070

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1629486121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST",
            "address_2": "STE 206",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385898",
            "telephone_number": "425-358-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST",
            "address_2": "STE 206",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385898",
            "telephone_number": "425-358-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTER",
        "first_name": "BILLIE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60408508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BILLIE",
            "last_name": "BENTLEY",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.