Individual provider Active NPI

Rondie Rueckert, OTR/L

  • Pediatric Occupational Therapist
  • Seatac, WA
National Provider Identifier
1669264693
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
2450 S 142ND St
Seatac, WA 98168-3840
Phone
(206) 631-5300
NPI assigned
May 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X Primary
Gerontology Occupational Therapist 225XG0600X

Addresses

Primary practice location

2450 S 142ND St
Seatac, WA 98168-3840

Mailing address

65 107TH Ave SE Apt 333
Bellevue, WA 98004-4073
Phone (385) 444-8626

Other practice location 1

22450 19th Ave S
Des Moines, WA 98198-7623
Phone (206) 631-7000

Other practice location 2

18367 8th Ave S
Des Moines, WA 98148-1911
Phone (206) 631-7630

Other names 1

  • Rondie Longacre Professional name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1669264693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 107TH AVE SE APT 333",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044073",
            "telephone_number": "385-444-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S 142ND ST",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981683840",
            "telephone_number": "206-631-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22450 19th Ave S",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981987623",
            "country_code": "US",
            "telephone_number": "206-631-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18367 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "WA",
            "postal_code": "981481911",
            "country_code": "US",
            "telephone_number": "206-631-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUECKERT",
        "first_name": "RONDIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONDIE",
            "last_name": "LONGACRE",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.