Active NPI
Christine J. Cannon, COTA
- Occupational Therapy Assistant
- Tacoma, WA
National Provider Identifier
1720248776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 6220 S Alaska St
Tacoma, WA 98408-1317 - Phone
- (253) 476-5365
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | WA | Primary |
Addresses
Primary practice location
6220 S Alaska St
Tacoma, WA 98408-1317
Mailing address
17305 33Rd Street CT E
Lake Tapps, WA 98391-9118
Phone (253) 380-6656
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1720248776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17305 33RD STREET CT E",
"city": "LAKE TAPPS",
"state": "WA",
"postal_code": "983919118",
"telephone_number": "253-380-6656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 S ALASKA ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984081317",
"telephone_number": "253-476-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "CHRISTINE",
"middle_name": "J.",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.