Active NPI
Strait Orthopedic Specialists,PS
- Occupational Therapist
- Port Angeles, WA
National Provider Identifier
1679635536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00003652
- Legal business name
- STRAIT ORTHOPEDIC SPECIALISTS,PS
- Practice address
- 1112 Caroline St
Port Angeles, WA 98362-4204 - Phone
- (360) 417-8630
- Fax
- (360) 417-8635
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina May McGovern, M.D.
- Title
- President
- Phone
- (360) 417-8630
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00003652 | WA | Primary |
| Hand Occupational Therapist | 225XH1200X | OT00003652 | WA |
Addresses
Primary practice location
1112 Caroline St
Port Angeles, WA 98362-4204
Mailing address
1112 Caroline St
Port Angeles, WA 98362-4204
Phone (360) 417-8630
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147288 | Other | WA | DEPT. OF LABOR & INDUSTRI |
| 7682677 | Medicaid | WA | |
| CH7730 | Other | WA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1112 Caroline St
Port Angeles, WA 98362
Phone (360) 417-8630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1679635536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624204",
"telephone_number": "360-417-8630",
"fax_number": "360-417-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 CAROLINE ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983624204",
"telephone_number": "360-417-8630",
"fax_number": "360-417-8635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAIT ORTHOPEDIC SPECIALISTS,PS",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "MCGOVERN",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "MAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "360-417-8630",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003652",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00003652",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRI",
"identifier": "147288",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7682677",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH7730",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.