Active NPI
Patricia Ann Krueger, OTR/L, CHT
- Hand Occupational Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT00002595
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016627 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons Inc., P.S. | Occupational Therapist | Current | Accepting new patients |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Laurie Hartleydba Advanced Hand & Orthopedics | Hand | Past | 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.
-
dba Proliance Surgeons Orthopedic Specialists of Seattle
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
dba Proliance Orthopedic Associates
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
dba Proliance Sports Therapy and Rehab of Issaquah
- Physical Therapist
- Issaquah, WA
- NPI 1083752042
Occupational Therapist
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
-
- Hand Occupational Therapist
- Anchorage, AK
- NPI 1285010975
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.