Developmental Occupational Therapy Services

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

OT 00001361 Issued in WA

Legal business name

DEVELOPMENTAL OCCUPATIONAL THERAPY SERVICES

Practice address

12523 Morris Rd SE
Yelm, WA 98597-9201

Phone

(360) 458-3896

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Caniff, OTR/L, M.S.

Title

Occupational Therapist

Phone

(360) 458-3896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1689073082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 MORRIS RD.",
            "city": "YELM",
            "state": "WA",
            "postal_code": "98597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 MORRIS RD SE",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985979201",
            "telephone_number": "360-458-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVELOPMENTAL OCCUPATIONAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "CANIFF",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "360-458-3896",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L, M.S."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WA",
            "license": "OT 00001361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fil Beth Gatmaitan Davis, FNP
• Paul Kenneth Davis, LMP
• Kirk Dawson, D.O.
• Caroline Rosemary Alice Dean
• Grace Amanda Delane
• Joseph Dispenza, D.C.
• Cheri M Dorhauer, M.D.
• Wesley Douglas, RPH
• Dream Enterprises, Inc
• Dreamspace Enterprises PLLC

• Local Education Agency (LEA) in Yelm, WA
• Providers in Yelm, WA by specialty
• Local Education Agency (LEA) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.