Kym Fitzgerald, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60581986 Issued in WA

Practice address

1427 116TH Ave NE
Bellevue, WA 98004-3807

Phone

(425) 462-9800

Fax

(425) 454-9143

NPI assigned

Mar 7, 2017

Sex

Female

Sole proprietor

No

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)

Enrolled

Practice roles

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.

• Overlake Internal Medicine Laboratory

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1558422147
  NPD (past)

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1720528870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043807",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043807",
            "telephone_number": "425-462-9800",
            "fax_number": "425-454-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KYM",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60581986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Fisher, MA, LMHCA, CDPT
• Zachary Fisk, MD
• Emily Fitch
• Melissa Fitting
• Brian Fitzgerald, PHARM.D.
• Brian Fitzjohn
• Debra Fixman, PT
• Erich Flaker, MA,CAA
• Peggy Sue Flanagan, LICSW
• Laura Jo Flanigan, OTR/L

• All providers in Bellevue, WA
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.