NPIMap

Organization Active NPI

Olive & Magnolia Occupational Therapy Services, LLC

Doing business as Olive & Magnolia Occupational Therapy

  • Mental Health Occupational Therapist
  • Renton, WA
National Provider Identifier
1760231898
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
Legal business name
OLIVE & MAGNOLIA OCCUPATIONAL THERAPY SERVICES, LLC
Doing business as
Olive & Magnolia Occupational Therapy
Practice address
3788 NE 4TH St Apt J308
Renton, WA 98056-8484
Phone
(678) 758-9127
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Ms. Aislinn Mason, OTR/LNPI 1538624689
Title
OT; Business Owner
Phone
(678) 758-9127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XM0800X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X

Addresses

Primary practice location

3788 NE 4TH St Apt J308
Renton, WA 98056-8484

Mailing address

3788 NE 4TH St Apt J308
Renton, WA 98056-8484
Phone (678) 758-9127

Other names 1

  • Olive & Magnolia Occupational Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1760231898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3788 NE 4TH ST APT J308",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980568484",
            "telephone_number": "678-758-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3788 NE 4TH ST APT J308",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980568484",
            "telephone_number": "678-758-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE & MAGNOLIA OCCUPATIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "AISLINN",
        "authorized_official_title_or_position": "OT; BUSINESS OWNER",
        "authorized_official_telephone_number": "678-758-9127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive & Magnolia Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.