Active NPI
Sarah Jean Defreitas, MOT, OTR/L
- Occupational Therapist
- Lynnwood, WA
National Provider Identifier
1962659490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60036175
- Practice address
- 5821 188TH St SW
Lynnwood, WA 98037-4304 - Phone
- (425) 563-6074
- Fax
- (425) 776-3230
- NPI assigned
- Aug 27, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 60036175 | WA | Primary |
Addresses
Primary practice location
5821 188TH St SW
Lynnwood, WA 98037-4304
Mailing address
5110 17TH Ave NW
#405
Seattle, WA 98107-3865
Phone (860) 930-8058
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 60036175 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Rehab, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1962659490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5110 17TH AVE NW",
"address_2": "#405",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073865",
"telephone_number": "860-930-8058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5821 188TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374304",
"telephone_number": "425-563-6074",
"fax_number": "425-776-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFREITAS",
"first_name": "SARAH",
"middle_name": "JEAN",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60036175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.