Mikayla Renae Wasson, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61052997 Issued in WA

Practice address

1620 S Pioneer Way
Moses Lake, WA 98837-2487

Phone

(509) 766-2670

Fax

(509) 766-2689

NPI assigned

Sep 22, 2020

Last updated

Dec 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Moses Lake School District

  • Local Education Agency (LEA)
  • Moses Lake, WA
  • NPI 1386739308
  NPD

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1710593058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670",
            "fax_number": "509-766-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S PIONEER WAY",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372487",
            "telephone_number": "509-766-2670",
            "fax_number": "509-766-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "MIKAYLA",
        "middle_name": "RENAE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61052997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Brian Warfield, M.D.
• Steven R Warner, MD
• Ethan D Washburn, PA-C
• Washington Homecare and Hospice of Central Basin, LLC (Assured Hospice)
• Washington Homecare and Hospice of Central Basin, LLC (Assured Home Health)
• Charlene G Watson, MSW
• Karli J Weber, LMHC, SUDP
• Wenatchee Valley Hospital
• Wenatchee Valley Hospital
• Heather West, LICSW

• Occupational Therapist in Moses Lake, WA
• Providers in Moses Lake, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.