Active NPI
Jane Brody
- Occupational Therapist
- Tumwater, WA
National Provider Identifier
1801334164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00002669
- Practice address
- 621 Linwood Ave SW
Tumwater School District
Tumwater, WA 98512 - Phone
- (360) 709-7000
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00002669 | WA | Primary |
Addresses
Primary practice location
621 Linwood Ave SW
Tumwater School District
Tumwater, WA 98512
Mailing address
621 Linwood Ave SW
Tumwater School District
Tumwater, WA 98512
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 |
|---|---|---|---|
| 00002669 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1801334164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 LINWOOD AVE SW",
"address_2": "TUMWATER SCHOOL DISTRICT",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 LINWOOD AVE SW",
"address_2": "TUMWATER SCHOOL DISTRICT",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98512",
"telephone_number": "360-709-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00002669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.