Kim A Bertrand, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 60204456 Issued in WA

Practice address

669 Mullis St Ste 102
Friday Harbor, WA 98250-7902

Phone

(360) 370-5226

NPI assigned

Apr 12, 2011

Last updated

Apr 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Islanders Physical Therapy and Rehabilitation, Inc.

  • Rehabilitation Clinic/Center
  • Friday Harbor, WA
  • NPI 1437334810
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1689964678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MULLIS ST STE 102",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507902",
            "telephone_number": "360-370-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 MULLIS ST STE 102",
            "city": "FRIDAY HARBOR",
            "state": "WA",
            "postal_code": "982507902",
            "telephone_number": "360-370-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "KIM",
        "middle_name": "A",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 60204456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Michael Baird, CDP
• Sheryl Marlene Bauer, MASSAGE THERAPIST
• Lenore L Bayuk, RN, ARNP
• Bellwether Health PLLC (Eventide Health)
• Paul Berry, PSYD
• Rachel A. Bishop, M.D.
• Patricia L Bjarnason, M.S., CCC-SLP
• Leyardia Lenore Black, N.D.
• Rosa Carmen Blair, L.M.H.C.A.
• Bo Turnage DDS

• Occupational Therapy Assistant in Friday Harbor, WA
• Providers in Friday Harbor, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.