Individual provider Active NPI

Cristy A Obremski, LMP, COTA

  • Occupational Therapy Assistant
  • Maple Valley, WA
National Provider Identifier
1942602891
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC61351783 Issued in WA
Practice address
22443 SE 240TH St Ste 102
Maple Valley, WA 98038-5846
Phone
(425) 358-3070
NPI assigned
Sep 23, 2014
Last updated
Nov 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC61351783 WA Primary
Massage Therapist 225700000X MA60500783 WA

Addresses

Primary practice location

22443 SE 240TH St Ste 102
Maple Valley, WA 98038-5846

Mailing address

22443 SE 240TH St Ste 102
Maple Valley, WA 98038-5846

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
OC61351783WAMDOccupational Therapy Assistant
MA60500783WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1942602891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22443 SE 240TH ST STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385846",
            "telephone_number": "425-358-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREMSKI",
        "first_name": "CRISTY",
        "middle_name": "A",
        "credential": "LMP, COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61351783",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60500783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.