Mira Waszak, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT3335 Issued in WA

Practice address

515 Kirkland Way
Kirkland, WA 98033-6219

Phone

(425) 827-7031

Fax

(425) 827-0102

NPI assigned

Aug 31, 2006

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)

Enrolled

Practice roles

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.

• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891807582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 KIRKLAND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336219",
            "telephone_number": "425-827-7031",
            "fax_number": "425-827-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 KIRKLAND WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336219",
            "telephone_number": "425-827-7031",
            "fax_number": "425-827-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASZAK",
        "first_name": "MIRA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT3335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Physical Therapy and Rehabilitation LLC
• Washington Sports Medicine Associates Inc
• Washington Sports Medicine Institute, LLC
• Washington Therapy Group, Inc.
• Dominique Washington, LMFTA
• Suzan Jeanne Watanabe, ARNP
• Kimberly Waterhouse, MS, RDN
• Cassidy Kay Waters
• Rebecca Lynn Waterston, MA, LMHCA, CDPT
• Paige Clyde Watson, LMP

• Occupational Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Occupational 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.