Active NPI
Julianne Waltenburg, OTR/L
- Pediatric Occupational Therapist
- Seattle, WA
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
- Last updated
- Mar 11, 2021
- 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
Seattle, WA 98134
Phone (206) 461-4544
4636 E Marginal Way S
Ste B100
Seattle, WA 98134
Phone (206) 763-0352
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.