Individual provider Active NPI

Katarina Miller, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1689217465
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61420701 Issued in WA
Practice address
5150 Village Park Dr SE
Bellevue, WA 98006-6652
Phone
(425) 657-0620
NPI assigned
Oct 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X
Occupational Therapist 225X00000X OT61420701 WA Primary

Addresses

Primary practice location

5150 Village Park Dr SE
Bellevue, WA 98006-6652

Mailing address

5150 Village Park Dr SE
Bellevue, WA 98006-6652

Other practice location 1

9470 Micron Ave
Sacramento, CA 95827-2612
Phone (916) 337-9842

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
OT61420701WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Center for Autism, LLC CurrentSince Mar 11, 2025 Accepting new patients
Ican America PastSince Mar 11, 2025 Accepting new patients

Locations

5150 Village Park Dr SE
Bellevue, WA 98006
Phone (425) 502-8245

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": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1689217465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE PARK DR SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980066652",
            "telephone_number": "425-657-0620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9470 Micron Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958272612",
            "country_code": "US",
            "telephone_number": "916-337-9842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATARINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61420701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.