Individual provider Active NPI

Emily Sannan, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Seattle, WA
National Provider Identifier
1841816634
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
60334910 Issued in WA
Practice address
911 N 145TH St
Seattle, WA 98133-6522
Phone
(206) 604-4707
Fax
(206) 367-9203
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 60334910 WA
Physical Rehabilitation Occupational Therapist 225XP0019X 60334910 WA Primary

Addresses

Primary practice location

911 N 145TH St
Seattle, WA 98133-6522

Mailing address

155 Howe St
Seattle, WA 98109-2529
Phone (425) 330-2455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200731001656 WA Practitioner - Occupational Therapist in Private Practice 9830514298 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60334910WAMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Rehabilitation CurrentSince Jun 5, 2023 Accepting new patients
Integrated Rehabilitation Group, PC CurrentSince Jun 5, 2023 Accepting new patients
Wellness Occupational Therapy LLC CurrentSince Jul 2, 2020 Accepting new patients

Locations

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

2205 N 45th St
Seattle, WA 98103
Phone (206) 547-2500

911 N 145th St
Seattle, WA 98133
Phone (206) 604-4707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1841816634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOWE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092529",
            "telephone_number": "425-330-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N 145TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981336522",
            "telephone_number": "206-604-4707",
            "fax_number": "206-367-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNAN",
        "first_name": "EMILY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "60334910",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "60334910",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.