Individual provider Active NPI

Emily Kate Damon, MOT

  • Occupational Therapist
  • Kirkland, WA
National Provider Identifier
1629564414
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61496769 Issued in WA
Practice address
12910 Totem Lake Blvd NE Ste 130
Kirkland, WA 98034-2955
Phone
(425) 823-8055
Fax
(425) 658-5302
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X OC60822402 WA
Occupational Therapist 225X00000X OT61496769 WA Primary

Addresses

Primary practice location

12910 Totem Lake Blvd NE Ste 130
Kirkland, WA 98034-2955

Mailing address

8440 NE 141St St
Kirkland, WA 98034-5326
Phone (253) 334-1821

Other practice location 1

3719 88th St NE Ste A
Marysville, WA 98270-7228
Phone (360) 659-9621

Other practice location 2

11711 NE 12th St Ste 3A
Bellevue, WA 98005-2461
Phone (425) 454-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107000589 WA Practitioner - Occupational Therapist in Private Practice 7618324005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

12910 Totem Lake Blvd NE
Suite 130
Kirkland, WA 98034-2955
Phone (425) 823-8055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC60822402WAMDOccupational Therapy Assistant
OT61496769WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Occupational Therapist CurrentSince Oct 20, 2023 Accepting new patients
Therapy Management Services, PLLC Multi-Specialty Current Accepting new patients
Therapy Management Services, PLLC Multi-Specialty CurrentSince Oct 20, 2023 Accepting new patients
Therapy Management Services, PLLC Multi-Specialty Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405

814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

12910 Totem Lake Blvd NE
Ste 130
Kirkland, WA 98034
Phone (425) 823-8055

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191

Organizations & group practices 4

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1629564414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 NE 141ST ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345326",
            "telephone_number": "253-334-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12910 TOTEM LAKE BLVD NE STE 130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342955",
            "telephone_number": "425-823-8055",
            "fax_number": "425-658-5302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3719 88th St NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982707228",
            "country_code": "US",
            "telephone_number": "360-659-9621",
            "fax_number": "360-659-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11711 NE 12th St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052461",
            "country_code": "US",
            "telephone_number": "425-454-1405",
            "fax_number": "425-635-9340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMON",
        "first_name": "EMILY",
        "middle_name": "KATE",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60822402",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61496769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.