Individual provider Active NPI

Anna Hausermann, OTD

  • Occupational Therapist
  • Kirkland, WA
National Provider Identifier
1639777857
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
12910 Totem Lake Blvd NE Ste 130
Kirkland, WA 98034-2955
Phone
(425) 823-8055
Fax
(425) 658-5302
NPI assigned
Oct 9, 2020
Last updated
Oct 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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 Primary

Addresses

Primary practice location

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

Mailing address

11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201026001807 WA Practitioner - Occupational Therapist in Private Practice 6406276732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Family Chiropractic, LLC Occupational Therapist CurrentSince Aug 29, 2025 Accepting new patients

Locations

16201 25th Ave W
Lynnwood, WA 98087
Phone (425) 712-9277

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1639777857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 NE 12TH ST STE 3A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052461"
        },
        {
            "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": [],
    "basic": {
        "last_name": "HAUSERMANN",
        "first_name": "ANNA",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "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 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.