Active NPI
Julianne Waltenburg, OTR/L
- Pediatric Occupational Therapist
- Seattle, WA
National Provider Identifier
1780101899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT61138507
- Practice address
- 4636 E Marginal Way S
Seattle, WA 98134-2382 - Phone
- (206) 763-0352
- NPI assigned
- Aug 29, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT61138507 | WA | Primary |
Addresses
Primary practice location
4636 E Marginal Way S
Seattle, WA 98134-2382
Mailing address
1122 N 6TH St Apt 17
Tacoma, WA 98403-1650
Phone (775) 741-0485
Other practice location 1
4600 Kietzke Ln Ste M246
Reno, NV 89502-5000
Phone (775) 200-0935
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 |
|---|---|---|---|
| OT61138507 | WA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meredith Shatto | Current | Accepting new patients |
Locations
4636 E Marginal Way S
Ste B100
Seattle, WA 98134
Phone (206) 763-0352
4636 E Marginal Way S
Seattle, WA 98134
Phone (206) 291-8710
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Seattle, WA
- NPI 1669909735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1780101899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 N 6TH ST APT 17",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031650",
"telephone_number": "775-741-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4636 E MARGINAL WAY S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981342382",
"telephone_number": "206-763-0352"
}
],
"practiceLocations": [
{
"address_1": "4600 Kietzke Ln Ste M246",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895025000",
"country_code": "US",
"telephone_number": "775-200-0935",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALTENBURG",
"first_name": "JULIANNE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-29",
"last_updated": "2021-03-11",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT61138507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.