Individual provider Active NPI

Laci Lea Garcia

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1689208407
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61035980 Issued in WA
Practice address
1515 S Technology Blvd
Spokane, WA 99224
Phone
(509) 209-7429
Fax
(509) 340-9942
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61035980 WA Primary

Addresses

Primary practice location

1515 S Technology Blvd
Spokane, WA 99224

Mailing address

1515 S Technology Blvd
Spokane, WA 99224-5003
Phone (509) 209-7429

Other identifiers 1

IdentifierTypeStateIssuer
OT61035980OtherWAOT LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hello@ssptherapy.com

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

State licenses

LicenseStateTypeSpecialty
OT61035980WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Pediatric Therapy PastSince Mar 1, 2020 Accepting new patients
SSPT Clinic Occupational Therapist PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1689208407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S TECHNOLOGY BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245003",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S TECHNOLOGY BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99224",
            "telephone_number": "509-209-7429",
            "fax_number": "509-340-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LACI",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61035980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT61035980",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hello@ssptherapy.com",
            "affiliation": "N",
            "address_1": "319 S Cedar St",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992017029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.