Eric Oscar Hautala, M.O.T.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 60501869 Issued in WA

Practice address

25012 104TH Ave SE
Suite C
Kent, WA 98030-2821

Phone

(253) 856-3477

Fax

(253) 856-3478

NPI assigned

Oct 9, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1740684422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2170",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983900480",
            "telephone_number": "253-840-2313",
            "fax_number": "253-840-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 104TH AVE SE",
            "address_2": "SUITE C",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980302821",
            "telephone_number": "253-856-3477",
            "fax_number": "253-856-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTALA",
        "first_name": "ERIC",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "M.O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60501869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahraa Hashem
• Jennifer D Hastings, PT. PHD, NCS
• Adair Louise Hasty-Vannoy, LMHC CMHS MHP
• Mary Hatlen
• Betty L Haugen, LMP
• Jackson Lee Haverly, M.D.
• T'Nisha Hawkins
• Frederick Hawthorne
• Richard Alan Hayashi, DDS
• Bridgette A Hayes, DOULA

• Occupational Therapist in Kent, WA
• Providers in Kent, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.