Vicki M Booth, MA. CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

RE00000165 Issued in WA

Practice address

9900 Veterans Dr
A-116-Dom
Tacoma, WA 98493

Phone

(253) 582-8440

NPI assigned

Aug 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871600478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 VETERANS DR",
            "address_2": "A-116-DOM",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-582-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 VETERANS DR",
            "address_2": "A-116-DOM",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98493",
            "telephone_number": "253-582-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "VICKI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA. CTRS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "WA",
            "license": "RE00000165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Leo Booth, D.C.
• Helen Booth, PHARM.D.
• Marvin Booth
• Stephanie Booth
• Taylor C. Booth, L.M.P.
• Daniel Alejandro Borbon, M.D.
• William Borch
• Alex Friedrich Borchert, MD
• Dylan James Borden, MS, ATC
• Melissa Borden, DO

• Recreation Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Recreation Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.