Willow Pediatric Therapy PLLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

WILLOW PEDIATRIC THERAPY PLLC

Practice address

11904 214TH St E
Graham, WA 98338-7264

Phone

(253) 200-5314

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Stuart, MOT OTR/L C/NDTNPI 1225311814

Title

Owner

Phone

(253) 200-5314

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Michelle Stuart, MOT OTR/L C/NDT IMHE

  • Occupational Therapist
  • Tacoma, WA
  • NPI 1225311814
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1902569890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983380742",
            "telephone_number": "253-200-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 214TH ST E",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983387264",
            "telephone_number": "253-200-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-200-5314",
        "authorized_official_credential": "MOT OTR/L C/NDT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Jean Wesenberg, LMT
• Kaylee D Wheeler
• Nicholas A Wilcox, D.C.
• Ariana Wilks
• Deborah S Williamson, RN
• Richard Wills, LMP
• Tania E Winstead
• Laura Wolff, DDS
• Breanna Young
• Your Relaxation Massage

• Occupational Therapist in Graham, WA
• Providers in Graham, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.