Individual provider Active NPI

Brittany Pearson, OTD, OTR/L

  • Pediatric Occupational Therapist
  • Everett, WA
National Provider Identifier
1730508797
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
2750 Issued in AK
Practice address
2205 Wall St
Everett, WA 98201-3761
Phone
(425) 512-8695
NPI assigned
Apr 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 2750 AK Primary

Addresses

Primary practice location

2205 Wall St
Everett, WA 98201-3761

Mailing address

2205 Wall St
Everett, WA 98201-3761
Phone (425) 512-8695

Other practice location 1

110 W 38th Ave
Anchorage, AK 99503-5677
Phone (907) 561-1478

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2750AKMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Engineered Sports 2 PLLC CurrentSince Aug 28, 2022 Accepting new patients

Locations

2205 Wall St
Everett, WA 98201
Phone (425) 512-8695

Organizations & group practices 1

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1730508797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 WALL ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013761",
            "telephone_number": "425-512-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 WALL ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013761",
            "telephone_number": "425-512-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 38th Ave",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995035677",
            "country_code": "US",
            "telephone_number": "907-561-1478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BRITTANY",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-07",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AK",
            "license": "2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.