Jill M Anderson, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00002089 Issued in WA

Practice address

27500 102ND Ave NW Ste 1
Stanwood, WA 98292-8092

Phone

(360) 629-9768

Fax

(360) 629-6487

NPI assigned

Mar 9, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NSPT IncGroup PAC ID 5698850295, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• NSPT, Inc.

  dba NorthSound Physical Therapy

  • Physical Therapy Clinic/Center
  • Stanwood, WA
  • NPI 1336326198

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• NSPT, Inc.

  dba NorthSound Physical Therapy

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1457063984

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942332663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27500 102ND AVE NW STE 1",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982928092",
            "telephone_number": "360-629-9768",
            "fax_number": "360-629-6487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16030 Bothell Everett Hwy",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980121741",
            "country_code": "US",
            "telephone_number": "425-745-4910",
            "fax_number": "425-338-5709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Allen
• American Behavioral Healt Systems, Inc.
• Gary Rhett Andelin, DO
• Matthew Robert Andelin, DMD
• Amanda Ruth Anderson, L.M.P
• Jared Michael Andrews, D.C.
• Maria Socorro Apodaca
• Mylene Zuniga Arboleda, RN
• Maria Christina Arce
• Rachel Armstrong

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.