Active NPI
Elizabeth Durkin, OT, EAMP
- Occupational Therapist
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60645141
- Practice address
- 2821 NW Market St Ste E
Seattle, WA 98107-5815 - Phone
- (206) 706-0063
- Fax
- (206) 508-1265
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC00002083 | WA | |
| Occupational Therapist | 225X00000X | OT60645141 | WA | Primary |
Addresses
Primary practice location
2821 NW Market St Ste E
Seattle, WA 98107-5815
Mailing address
2821 NW Market St Ste E
Seattle, WA 98107-5815
Phone (206) 706-0063
Other practice location 1
9714 3rd Ave NE
Suite 103
Seattle, WA 98115
Phone (206) 527-9709
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1631890 | Other | WA | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 Commercial Ave
Suite a
Anacortes, WA 98221-2761
Phone (360) 682-0361
403 W Stanley St
Granite Falls, WA 98252-8631
Phone (360) 691-4835
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC00002083 | WA | MD | Acupuncturist |
| OT60645141 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Occupational Therapist | Current | Accepting new patients |
| Integrated Rehabilitation Group, PC | Current | Accepting new patients | |
| Green Lake Massage Health Center, LLC | Acupuncturist | Past | Accepting new patients |
Locations
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
2821 NW Market St
Ste E
Seattle, WA 98107
Phone (206) 508-1265
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524096000000",
"number": "1932322997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 NW MARKET ST STE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075815",
"telephone_number": "206-706-0063",
"fax_number": "206-508-1265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 NW MARKET ST STE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075815",
"telephone_number": "206-706-0063",
"fax_number": "206-508-1265"
}
],
"practiceLocations": [
{
"address_1": "9714 3rd Ave NE",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98115",
"country_code": "US",
"telephone_number": "206-527-9709",
"fax_number": "206-526-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURKIN",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "OT, EAMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2018-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00002083",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60645141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "20-1631890",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.