Active NPI
River Bear Occupational Therapy
- Pediatric Occupational Therapist
- Carnation, WA
National Provider Identifier
1891479903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- RIVER BEAR OCCUPATIONAL THERAPY
- Practice address
- 32504 NE 45TH St
Carnation, WA 98014-8726 - Phone
- (206) 561-6862
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Louise McDonald, OT
- Title
- President
- Phone
- (206) 561-6862
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Primary |
Addresses
Primary practice location
32504 NE 45TH St
Carnation, WA 98014-8726
Mailing address
32504 NE 45TH St
Carnation, WA 98014-8726
Phone (206) 561-6862
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1891479903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32504 NE 45TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980148726",
"telephone_number": "206-561-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32504 NE 45TH ST",
"city": "CARNATION",
"state": "WA",
"postal_code": "980148726",
"telephone_number": "206-561-6862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER BEAR OCCUPATIONAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-10",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "206-561-6862",
"authorized_official_credential": "OT"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carnation, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.