Individual provider Active NPI

Meilani Kim, OT

  • Occupational Therapist
  • Lakewood, WA
National Provider Identifier
1790462745
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61438456 Issued in WA
Practice address
7308 Bridgeport Way W Ste 203
Lakewood, WA 98499-8000
Phone
(253) 625-7657
Fax
(253) 625-7477
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61438456 WA Primary

Addresses

Primary practice location

7308 Bridgeport Way W Ste 203
Lakewood, WA 98499-8000

Mailing address

7308 Bridgeport Way W Ste 203
Lakewood, WA 98499-8000
Phone (253) 625-7657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002839 WA Practitioner - Occupational Therapist in Private Practice 5991153827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands for Living LLCGroup PAC ID 4284891656, 14 clinicians

Practice addresses (Care Compare)

19221 36TH Ave W
Suite 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61438456WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Physical Therapy P.S. CurrentSince Sep 16, 2023 Accepting new patients
Complete Physical Therapy P.S. Occupational Therapist CurrentSince Sep 16, 2023 Accepting new patients
Hands for Living LLC Occupational Therapist CurrentSince Jan 1, 2025 Accepting new patients

Locations

7304 Lakewood Dr W
Ste 23
Lakewood, WA 98499
Phone (253) 314-5762

7308 Bridgeport Way W
Ste 203
Lakewood, WA 98499
Phone (253) 582-8500

19221 36th Ave W
Ste 213
Lynnwood, WA 98036
Phone (425) 368-7943

16150 NE 85th St
Ste 116
Redmond, WA 98052
Phone (425) 881-1921

Organizations & group practices 3

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1790462745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 BRIDGEPORT WAY W STE 203",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998000",
            "telephone_number": "253-625-7657",
            "fax_number": "253-625-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7308 BRIDGEPORT WAY W STE 203",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984998000",
            "telephone_number": "253-625-7657",
            "fax_number": "253-625-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "MEILANI",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61438456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.