Individual provider Active NPI

Charlea Olmstead, OTR

  • Occupational Therapist
  • Lynden, WA
National Provider Identifier
1710570312
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61137824 Issued in WA
Practice address
855 Aaron Dr
Lynden, WA 98264-9396
Phone
(360) 354-4434
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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 OT61137824 WA Primary

Addresses

Primary practice location

855 Aaron Dr
Lynden, WA 98264-9396

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Other practice location 1

4545 Cordata Pkwy Ste Ll4
Bellingham, WA 98226-7263
Phone (360) 752-5622

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250114003665 WA Practitioner - Occupational Therapist in Private Practice 5092243378 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61137824WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Feb 24, 2025 Accepting new patients
Peacehealth CurrentSince Feb 24, 2025 Accepting new patients

Locations

4545 Cordata Pkwy
Ste 4
Bellingham, WA 98226

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Ste LL4
Bellingham, WA 98226
Phone (360) 729-1253

Organizations & group practices 2

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1710570312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 AARON DR",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649396",
            "telephone_number": "360-354-4434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Cordata Pkwy Ste Ll4",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982267263",
            "country_code": "US",
            "telephone_number": "360-752-5622",
            "fax_number": "360-752-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLMSTEAD",
        "first_name": "CHARLEA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61137824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.