NPIMap

Organization Active NPI

Rue - Primavera Occupational & Physical Therapy LLC

  • Occupational Therapist
  • Oak Harbor, WA
National Provider Identifier
1942410907
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT0000093 Issued in WA
Legal business name
RUE - PRIMAVERA OCCUPATIONAL & PHYSICAL THERAPY LLC
Practice address
785 SE Bayshore Dr.
Suite 102
Oak Harbor, WA 98277
Phone
(360) 279-8323
Fax
(360) 279-8772
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Mrs. Wendolyn Anne Rue, PT
Title
Owner
Phone
(360) 279-8323

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT00006648 WA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT00002981 WA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT0000093 WA Primary

Addresses

Primary practice location

785 SE Bayshore Dr.
Suite 102
Oak Harbor, WA 98277

Mailing address

785 SE Bayshore Dr.
Suite 102
Oak Harbor, WA 98277
Phone (360) 279-8323

National Provider Directory

National Provider Directory

Locations

785 SE Bayshore Dr
Ste 102
Oak Harbor, WA 98277
Phone (360) 279-8323

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1942410907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 SE BAYSHORE DR.",
            "address_2": "SUITE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-279-8323",
            "fax_number": "360-279-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 SE BAYSHORE DR.",
            "address_2": "SUITE 102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-279-8323",
            "fax_number": "360-279-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUE - PRIMAVERA OCCUPATIONAL & PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "RUE",
        "authorized_official_first_name": "WENDOLYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-279-8323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006648",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002981",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT0000093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.