Brenda Laine Bartholow, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

TL60553261 Issued in WA

Practice address

427 Lewis St
Moscow, ID 83843-3117

Phone

(208) 717-1623

Fax

(208) 955-3686

NPI assigned

Apr 13, 2015

Last updated

Nov 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cascade Rehabilitation Associates, PLLC

  dba Cascade Rehabilitation

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617
  Medicare reassignment NPD
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833
  Medicare reassignment NPD
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Occupational Therapist

  Medicare reassignment NPD
• Summit Rehabilitation PLLC

  dba Summit Rehab

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934

  Occupational Therapist

  Medicare reassignment NPD
• Cascade Rehabilitation Associates, PLLC

  • Physical Therapist
  • Mukilteo, WA
  • NPI 1770359010

  Occupational Therapist

  NPD
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy - Marysville

  • Physical Therapy Clinic/Center
  • Marysville, WA
  • NPI 1215201801

  Occupational Therapist

  NPD
• Snohomish Physical Therapy PLLC

  dba IRG Physical Therapy of Canyon Park

  • Occupational Therapist
  • Bothell, WA
  • NPI 1245696814
  NPD
• Summit Rehabilitation PLLC

  • Physical Therapist
  • Everett, WA
  • NPI 1760374771

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1881080158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 LEWIS ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433117",
            "telephone_number": "208-717-1623",
            "fax_number": "208-955-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 LEWIS ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433117",
            "telephone_number": "208-717-1623",
            "fax_number": "208-955-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOW",
        "first_name": "BRENDA",
        "middle_name": "LAINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-13",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "OT-2673",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "TL60553261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Bake
• Jayme G Baker, ATC, PT
• Michelle Elizabeth Baker, LMP, NCTMB
• Ronald Francis Baldwin, MD
• Rebecca K Barnes, LCPC
• Gregory Bauer, CRNA
• Meggan L Baumgartner, LAC
• Abigail Bayly, MOTR
• Daniel James Bayly, LCPC
• Bearable Dentistry

• Occupational Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.