Patrick Dewitt, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

00001129 Issued in WA

Practice address

1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640

Phone

(360) 452-9206

Fax

(360) 452-5117

NPI assigned

Jan 3, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1801217161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4874 DEER PARK RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983628285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 E LAURIDSEN BLVD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626640",
            "telephone_number": "360-452-9206",
            "fax_number": "360-452-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "00001129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret M Depew, ARNP
• Sharon Mack Derstine, ARNP
• Alisha N Detorres, ND
• Michael John Devoney, LAC.
• Donna Dewey-Osborne, LPN
• Darcy Deyling, LMHC-A
• Ellen Dezellem
• Jessica A Dibari, D.O.
• Amy Lee Dibello
• Dirk a. Gouge, D.O.

• Occupational Therapy Assistant in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.