Active NPI
Kathleen A. Klingenberg, OTR/L
- Pediatric Occupational Therapist
- Stanwood, WA
National Provider Identifier
1689919102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 00001061
- Practice address
- 10227 273Rd PL NW
Stanwood, WA 98292-8043 - Phone
- (360) 629-1250
- Fax
- (360) 629-1252
- NPI assigned
- Dec 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 00001061 | WA | Primary |
Addresses
Primary practice location
10227 273Rd PL NW
Stanwood, WA 98292-8043
Mailing address
10227 273Rd PL NW
Stanwood, WA 98292-8043
Phone (360) 629-1250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00001061 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1689919102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10227 273RD PL NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928043",
"telephone_number": "360-629-1250",
"fax_number": "360-629-1252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10227 273RD PL NW",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982928043",
"telephone_number": "360-629-1250",
"fax_number": "360-629-1252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGENBERG",
"first_name": "KATHLEEN",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-10",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "00001061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.