Individual provider Active NPI

Melissa McDonald, OTR/L

  • Pediatric Occupational Therapist
  • Snoqualmie, WA
National Provider Identifier
1942435938
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
60828743 Issued in WA
Practice address
9050 384TH Ave SE
Snoqualmie, WA 98065-9637
Phone
(425) 888-3347
Fax
(425) 888-3348
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 60828743 WA Primary

Addresses

Primary practice location

9050 384TH Ave SE
Snoqualmie, WA 98065-9637

Mailing address

32504 NE 45TH St
Carnation, WA 98014-8726
Phone (206) 561-6862

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60828743WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Northwest CurrentSince Jun 4, 2023 Accepting new patients
River Bear Occupational Therapy Pediatrics CurrentSince Jun 18, 2023 Accepting new patients
Pediatric Possibilities Pediatrics Past Accepting new patients
Park Ophthalmology Past Accepting new patients
Pediatric Possibilities, P.a. Past Accepting new patients

Locations

9050 384th Ave SE
Snoqualmie, WA 98065
Phone (425) 888-3347

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1942435938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32504 NE 45TH ST",
            "city": "CARNATION",
            "state": "WA",
            "postal_code": "980148726",
            "telephone_number": "206-561-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 384TH AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659637",
            "telephone_number": "425-888-3347",
            "fax_number": "425-888-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MELISSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "60828743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.