Active NPI
Katrina-Nadine Maanao Perez, OTR/L
- Occupational Therapist
- Lacey, WA
National Provider Identifier
1760095962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61081671
- Practice address
- Meadows Elementary School
836 Deerbrush Drive SE
Lacey, WA 98513 - Phone
- (360) 412-4690
- Fax
- (360) 412-4699
- NPI assigned
- Aug 26, 2020
- Last updated
- Aug 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT61081671 | WA | Primary |
Addresses
Primary practice location
Meadows Elementary School
836 Deerbrush Drive SE
Lacey, WA 98513
Mailing address
5918 Danials Loop SE
Lacey, WA 98513-6203
Phone (360) 918-4539
Other practice location 1
Chinook Middle School
4301 6th Avenue NE
Lacey, WA 98516
Phone (360) 412-4760
Other practice location 2
Nisqually Middle School
8100 Steilacoom Road SE
Lacey, WA 98503
Phone (360) 412-4770
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT61081671 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1760095962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5918 DANIALS LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985136203",
"telephone_number": "360-918-4539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEADOWS ELEMENTARY SCHOOL",
"address_2": "836 DEERBRUSH DRIVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "98513",
"telephone_number": "360-412-4690",
"fax_number": "360-412-4699"
}
],
"practiceLocations": [
{
"address_1": "Chinook Middle School",
"address_2": "4301 6th Avenue NE",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "98516",
"country_code": "US",
"telephone_number": "360-412-4760",
"fax_number": "360-412-4769",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Nisqually Middle School",
"address_2": "8100 Steilacoom Road SE",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "98503",
"country_code": "US",
"telephone_number": "360-412-4770",
"fax_number": "360-412-4779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "KATRINA-NADINE",
"middle_name": "MAANAO",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-26",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61081671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.