Individual provider Active NPI

Jennifer Kay, OTR/L, CHT

  • Hand Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1740262948
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT00001614 Issued in WA
Practice address
1810 116TH Ave NE Ste D4
Bellevue, WA 98004-3058
Phone
(425) 283-5230
Fax
(425) 283-5236
NPI assigned
Nov 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT00001614 WA Primary

Addresses

Primary practice location

1810 116TH Ave NE Ste D4
Bellevue, WA 98004-3058

Mailing address

12911 120TH Ave NE Ste G10
Kirkland, WA 98034-3048
Phone (425) 823-4224

Other practice location 1

12911 120th Ave NE Ste H220
Kirkland, WA 98034-3064
Phone (425) 823-4224

Other identifiers 1

IdentifierTypeStateIssuer
1038075MedicaidWA

Other names 1

  • Jenny Stack Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061127000202 WA Practitioner - Occupational Therapist in Private Practice 8921006149 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

1810 116TH Ave NE
Suite D4
Bellevue, WA 98004-3058
Phone (425) 283-5230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00001614WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S CurrentSince Oct 19, 2009 Accepting new patients
Seattle Hand Surgery Group PC CurrentSince Apr 24, 2006 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Seattle Hand Surgery Group PC CurrentSince Apr 24, 2006 Accepting new patients
Proliance Surgeons Inc., P.S. CurrentSince Oct 19, 2009 Accepting new patients

Locations

3101 Northup Way
Ste 301
Bellevue, WA 98004
Phone (425) 462-5006

1810 116th Ave NE
Ste D4
Bellevue, WA 98004
Phone (425) 283-5230

1200 112th Ave NE
Ste C260
Bellevue, WA 98004
Phone (425) 313-3055

12911 120th Ave NE
Ste G10
Kirkland, WA 98034
Phone (425) 481-6301

12911 120th Ave NE
Ste H220
Kirkland, WA 98034
Phone (425) 216-7075

600 Broadway
Ste 440
Seattle, WA 98122
Phone (206) 292-6252

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Organizations & group practices 5

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1740262948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE G10",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343048",
            "telephone_number": "425-823-4224",
            "fax_number": "425-820-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 116TH AVE NE STE D4",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043058",
            "telephone_number": "425-283-5230",
            "fax_number": "425-283-5236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12911 120th Ave NE Ste H220",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343064",
            "country_code": "US",
            "telephone_number": "425-823-4224",
            "fax_number": "425-820-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00001614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038075",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNY",
            "last_name": "STACK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.