Individual provider Active NPI

Helena S Wodrich, OTR/L

  • Pediatric Occupational Therapist
  • Seattle, WA
National Provider Identifier
1790999381
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
2737 50TH Ave SW
Seattle, WA 98116-2915
Phone
(206) 390-8518
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X WA Primary

Addresses

Primary practice location

2737 50TH Ave SW
Seattle, WA 98116-2915

Mailing address

2737 50TH Ave SW
Seattle, WA 98116-2915
Phone (206) 390-8518

Other practice location 1

512 W Prancer Dr S
Santa Claus, IN 47579-6161
Phone (812) 393-0536

Other identifiers 1

IdentifierTypeStateIssuer
000000508702OtherINANTHEM BLUE CROSS & BLUE

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1790999381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 50TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162915",
            "telephone_number": "206-390-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 50TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162915",
            "telephone_number": "206-390-8518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 W Prancer Dr S",
            "address_purpose": "LOCATION",
            "city": "Santa Claus",
            "state": "IN",
            "postal_code": "475796161",
            "country_code": "US",
            "telephone_number": "812-393-0536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WODRICH",
        "first_name": "HELENA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS & BLUE",
            "identifier": "000000508702",
            "state": "IN"
        }
    ],
    "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 17, 2018; 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.