Kellie Ann Hislop, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60514402 Issued in WA

Practice address

510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449

Phone

(425) 313-3051

Fax

(425) 313-3055

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Bellevue, WA
  • NPI 1710330378
  Medicare reassignment NPD
• Proliance Surgeons Inc P S

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons, Inc., P.S.

  • Physical Therapist
  • Bellevue, WA
  • NPI 1831138783

  Occupational Therapist

  NPD
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Bellingham, WA
  • NPI 1023691169
  NPD
• Therapy Management Services, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Puyallup, WA
  • NPI 1225255318

  Occupational Therapist

  NPD
• Therapy Management Services, PLLC

  • Physical Therapist
  • Burien, WA
  • NPI 1780037689

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1922425123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-313-3051",
            "fax_number": "425-313-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 340",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295449",
            "telephone_number": "425-313-3051",
            "fax_number": "425-313-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISLOP",
        "first_name": "KELLIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT60514402",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60514402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043476",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Emma Hillier, GC
• Emma Karinne Hinds, MS, CF-SLP
• Haley Hinkle
• Rikki-Rachelle M Hinz
• Heather Hires, IBCLC
• Julie Christina Hjelm
• Leo E Ho, M.D.
• Kimber-Lee Hoeye
• Jaime M Hoffstetter, MSW
• Catherine Lounsbery Hogan, MSW, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.