Lydia Grace Stout, OTR/L, MSOT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

61601432 Issued in WA

Practice address

6912 220TH St SW Ste 205
Mountlake Terrace, WA 98043-2169

Phone

(425) 712-1978

Fax

(425) 712-1995

NPI assigned

Oct 7, 2024

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

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pacific Sports Rehab, PLLC

  • Hand Occupational Therapist
  • Mountlake Terrace, WA
  • NPI 1427770122
  Medicare reassignment NPD
• Harborview Medical Center

  • General Acute Care Hospital
  • Seattle, WA
  • NPI 1053359729
  NPD (past)

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1649099672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 205",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-712-1978",
            "fax_number": "425-712-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 220TH ST SW STE 205",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432169",
            "telephone_number": "425-712-1978",
            "fax_number": "425-712-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "LYDIA",
        "middle_name": "GRACE",
        "credential": "OTR/L, MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61601432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sprout Birth Center & Natural Health, PLLC
• Alexandria St. Claire, ND
• Madison Stefanson
• Stephanie Kang, DMD, PLLC
• Kyle Stewart
• Helen Denise Stovall
• Gabrielle Maya Strachan Schwiebert, MSW, LICSW
• Stroud Occupational Medicine PLLC
• Shane Scott Struthers
• Wendy A. Stubbs, MFTA

• Occupational Therapist in Mountlake Terrace, WA
• Providers in Mountlake Terrace, 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 7, 2024; 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.