Individual provider Active NPI

Elyse Bosse, OTR/L

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1699340448
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60836136 Issued in WA
Practice address
911 N 145TH St
Seattle, WA 98133-6522
Phone
(206) 604-4707
Fax
(206) 367-9203
NPI assigned
May 24, 2021
Last updated
Jun 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 60836136 WA Primary

Addresses

Primary practice location

911 N 145TH St
Seattle, WA 98133-6522

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221007000218 WA Practitioner - Occupational Therapist in Private Practice 6800272212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

6601 220TH St SW
Suite 1
Mountlake Terrace, WA 98043-2166
Phone (425) 775-7274

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60836136WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Occupational Therapy LLC Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients
Apple Physical Therapy LLC Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients
Apple Physical Therapy, LLC Occupational Therapist Current Accepting new patients
Apple Physical Therapy LLC Occupational Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

25248 Pacific Hwy S
Ste 104
Kent, WA 98032
Phone (253) 237-5012

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

6601 220th St SW
Mountlake Terrace, WA 98043

6601 220th St SW
Ste 1
Mountlake Terrace, WA 98043
Phone (425) 775-7274

1300 Madison St
Seattle, WA 98104
Phone (206) 322-9316

911 N 145th St
Seattle, WA 98133
Phone (206) 604-4707

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1699340448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N 145TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981336522",
            "telephone_number": "206-604-4707",
            "fax_number": "206-367-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "ELYSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60836136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.