Individual provider Active NPI

Patricia Ann Krueger, OTR/L, CHT

  • Hand Occupational Therapist
  • Kirkland, WA
National Provider Identifier
1699774943
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00002595 Issued in WA
Practice address
12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Phone
(425) 823-4224
Fax
(425) 820-8975
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00002596 WA
Hand Occupational Therapist 225XH1200X OT00002595 WA Primary

Addresses

Primary practice location

12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064

Mailing address

12911 120TH Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224

Other practice location 1

1810 116th Ave NE Ste D4
Bellevue, WA 98004-3058
Phone (425) 283-5230

Other identifiers 1

IdentifierTypeStateIssuer
1016627MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000749 WA Practitioner - Occupational Therapist in Private Practice 5698725943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

1231 116TH Ave NE
Suite 755
Bellevue, WA 98004-3804
Phone (425) 462-5006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc., P.S. Occupational Therapist CurrentSince Nov 10, 2020 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Nov 10, 2020 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Laurie Hartleydba Advanced Hand & Orthopedics Hand PastSince Jul 22, 2010 Accepting new patients
Cascade Rehabilitation Associates, PLLC Occupational Therapist Past Accepting new patients

Locations

1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041

1231 116th Ave NE
Ste 755
Bellevue, WA 98004
Phone (425) 462-5006

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

1810 116th Ave NE
Ste D4
Bellevue, WA 98004
Phone (425) 283-5230

510 8th Ave NE
Ste 320
Issaquah, WA 98029

12911 120th Ave NE
Ste H220
Kirkland, WA 98034
Phone (425) 216-7075

1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 5

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1699774943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H220",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343064",
            "telephone_number": "425-823-4224",
            "fax_number": "425-820-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE H220",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343064",
            "telephone_number": "425-823-4224",
            "fax_number": "425-820-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 116th Ave NE Ste D4",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043058",
            "country_code": "US",
            "telephone_number": "425-283-5230",
            "fax_number": "425-283-5236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002596",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00002595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016627",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.