Individual provider Active NPI

Brooke Nicole Raisin

  • Occupational Therapist
  • Kirkland, WA
National Provider Identifier
1730715152
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61231035 Issued in WA
Practice address
8011 118TH Ave NE
Kirkland, WA 98033-8031
Phone
(425) 202-5833
NPI assigned
Mar 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61231035 WA Primary

Addresses

Primary practice location

8011 118TH Ave NE
Kirkland, WA 98033-8031

Mailing address

8011 118TH Ave NE
Kirkland, WA 98033-8031
Phone (425) 202-5833

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

State licenses

LicenseStateTypeSpecialty
OT61231035WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Therapy Services Occupational Therapist PastSince Mar 1, 2020 Accepting new patients
Essential Therapy Services, Inc. Occupational Therapist PastSince Oct 21, 2025 Accepting new patients

Organizations & group practices 2

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": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1730715152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 118TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338031",
            "telephone_number": "425-202-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 118TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338031",
            "telephone_number": "425-202-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISIN",
        "first_name": "BROOKE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61231035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.