Vickie L Parker, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60311124 Issued in WA

Practice address

1220 4TH Ave E
Olympia, WA 98506-4212

Phone

(360) 316-4168

Fax

(360) 485-4968

NPI assigned

Oct 26, 2012

Last updated

Dec 9, 2019By 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

Other names 1

• Vickie L Parker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• BDM Associates LLC

  dba Peak Performance Physical Therapy & Sports Medicine

  • Physical Therapist
  • Columbia, MO
  • NPI 1801847033

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1730432840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064212",
            "telephone_number": "360-316-4168",
            "fax_number": "360-485-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064212",
            "telephone_number": "360-316-4168",
            "fax_number": "360-485-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "VICKIE",
        "middle_name": "L",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60311124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKIE",
            "last_name": "PARKER",
            "middle_name": "L",
            "credential": "OTR/L, CLT-LANA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana R Parker, MD
• Gevin Parker, PA-C
• Laqwalia Parker
• Maureen Foye Parker, LMFT
• Sari Parker
• Kellie R Parks, RN
• Marissa Parks, LMT
• Evan William Parnell
• Sophie G Parody
• Tremont Vincent Parrino, MD

• Occupational Therapist in Olympia, WA
• Providers in Olympia, 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 9, 2019; 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.