Elizabeth K. Gardner, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00001585 Issued in WA

Practice address

3210 200TH PL SW
Lynnwood, WA 98036-6934

Phone

(425) 353-5656

NPI assigned

Aug 10, 2006

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 identifiers 1

Other names 1

• Beth K. Gardner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Childstrive

  • Developmental Disabilities Clinic/Center
  • Everett, WA
  • NPI 1205872280

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1639180441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 200TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366934",
            "telephone_number": "425-353-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 200TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366934",
            "telephone_number": "425-353-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "ELIZABETH",
        "middle_name": "K.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00001585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD PIN",
            "identifier": "23929U",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GARDNER",
            "middle_name": "K.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yuan Gao
• Gaphilp Consulting PLLC
• Timothy L. Garberich, OT
• Isis Marie Garcia Diaz
• Angela Christine Garcia, LMT
• Gloria Sophia Azucena Garfield
• Misty Renae Gargan, D.C.
• Franco Alejandro Garibaldi Alva, PTA,LMT
• Shreyas Garimella
• Victoria Marie Garner, LMP

• Occupational Therapist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.