Active NPI
Paige Gresens
- Occupational Therapist
- Mountlake Terrace, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61609093
- Practice address
- 6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166 - Phone
- (425) 775-7274
- NPI assigned
- Jul 30, 2024
- Last updated
- Oct 23, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT61609093 | WA | Primary |
| Occupational Therapist | 225X00000X | 8660-26 | WI |
Addresses
Primary practice location
6601 220TH St SW Ste 1
Mountlake Terrace, WA 98043-2166
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
725 Olive Tree Ct
Green Bay, WI 54313-3301
Phone (920) 680-5998
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT61609093 | WA | MD | Occupational Therapist |
| 8660-26 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Physical Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Apple Physical Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
6601 220th St SW
Ste 1
Mountlake Terrace, WA 98043
Phone (425) 775-7274
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Occupational Therapist
-
dba ATI Physical Therapy
- Physical Therapist
- Auburn, WA
- NPI 1902808470
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1730918681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 220TH ST SW STE 1",
"city": "MOUNTLAKE TERRACE",
"state": "WA",
"postal_code": "980432166",
"telephone_number": "425-775-7274"
}
],
"practiceLocations": [
{
"address_1": "725 Olive Tree Ct",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543133301",
"country_code": "US",
"telephone_number": "920-680-5998",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRESENS",
"first_name": "PAIGE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-30",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61609093",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "8660-26",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountlake Terrace, WA
- Megan Gray
- Mariya N Grebcheva, PHARMD
- Angel Faith Green
- Manike Magriet Green, MSOT, OTR/L
- Christine Greiner
- Audrey Katherine Grettie, LMHC, SUDP, CN, LMT
- Tyler Joseph Griffith, CPHT
- Anne Catherine Grisham-Pleas, LMHC, CDP
- Guardian Manor LLC
- Guardian Pharmacy of Washington, LLC (Mercury Pharmacy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.