Active NPI
Emily Andersen, OTR/L
- Pediatric Occupational Therapist
- Auburn, WA
National Provider Identifier
1962366013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT.OT.61670184
- Practice address
- 4041 S 298TH St
Auburn, WA 98001-1581 - Phone
- (253) 945-2527
- NPI assigned
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT.OT.61670184 | WA | Primary |
Addresses
Primary practice location
4041 S 298TH St
Auburn, WA 98001-1581
Mailing address
1213 N Fife St
Tacoma, WA 98406-7402
Phone (760) 914-2745
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT.OT.61670184 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1962366013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 N FIFE ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984067402",
"telephone_number": "760-914-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 S 298TH ST",
"city": "AUBURN",
"state": "WA",
"postal_code": "980011581",
"telephone_number": "253-945-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSEN",
"first_name": "EMILY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-12",
"last_updated": "2025-12-12",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT.OT.61670184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.