Active NPI
Jon C Mackey, OTR/L
- Occupational Therapist
- Vancouver, WA
National Provider Identifier
1679732325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00003184
- Practice address
- 201 NE Park Plaza Dr
Suite 246
Vancouver, WA 98684-5808 - Phone
- (360) 427-3880
- NPI assigned
- Jun 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 00003184 | WA | Primary |
Addresses
Primary practice location
201 NE Park Plaza Dr
Suite 246
Vancouver, WA 98684-5808
Mailing address
201 NE Park Plaza Dr
Suite 246
Vancouver, WA 98684-5808
Phone (360) 427-3880
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 |
|---|---|---|---|
| 00003184 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighton Rehabilitation LLC | Occupational Therapist | Past | Accepting new patients |
| Workwise Therapy Services Limited | Past | Accepting new patients | |
| Brighton Rehabilitation Agency LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Poulsbo, WA
- NPI 1649357823
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1245580091
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212796800000",
"number": "1679732325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 NE PARK PLAZA DR",
"address_2": "SUITE 246",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845808",
"telephone_number": "360-427-3880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 NE PARK PLAZA DR",
"address_2": "SUITE 246",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845808",
"telephone_number": "360-427-3880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "JON",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-07",
"last_updated": "2008-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00003184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.