Active NPI
Kirsty Ann Cain, OTR
- Occupational Therapist
- Mountlake Terrace, WA
National Provider Identifier
1659574358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003763
- Practice address
- 6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166 - Phone
- (425) 775-7274
- Fax
- (425) 775-0963
- NPI assigned
- Jun 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00003763 | WA | Primary |
Addresses
Primary practice location
6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166
Mailing address
6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166
Phone (425) 775-7274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174339 | Other | WA | LNI |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00003763 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659574358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 220TH ST SW STE 1",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-775-7274",
"fax_number": "425-775-0963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 220TH ST SW STE 1",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-775-7274",
"fax_number": "425-775-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "KIRSTY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003763",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LNI",
"identifier": "174339",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mountlake Terrace, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.