Active NPI
Bryn Nicole West-Wallace, MOT, OTR/L
- Occupational Therapist
- Renton, WA
National Provider Identifier
1831646702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60647916
- Practice address
- 300 SW 7TH St
Renton, WA 98057-2307 - Phone
- (425) 204-2300
- NPI assigned
- Sep 7, 2016
- 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 | OT 60647916 | WA | Primary |
Addresses
Primary practice location
300 SW 7TH St
Renton, WA 98057-2307
Mailing address
2465 S 121St St
Burien, WA 98168-2422
Phone (425) 204-2238
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 |
|---|---|---|---|
| OT 60647916 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1831646702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 S 121ST ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981682422",
"telephone_number": "425-204-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SW 7TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980572307",
"telephone_number": "425-204-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST-WALLACE",
"first_name": "BRYN",
"middle_name": "NICOLE",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60647916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.