Active NPI
Amy Coverston, OTR
- Pediatric Occupational Therapist
- Redmond, WA
National Provider Identifier
1982326435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT61096688
- Practice address
- 12101 172ND Ave NE
Redmond, WA 98052-2464 - Phone
- (801) 502-8461
- NPI assigned
- Sep 12, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT61096688 | WA | Primary |
Addresses
Primary practice location
12101 172ND Ave NE
Redmond, WA 98052-2464
Mailing address
11999 159TH Ave NE
Redmond, WA 98052-2468
Phone (801) 502-8461
Other practice location 1
22130 NE 133rd St
Woodinville, WA 98077-7270
Phone (801) 502-8461
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 |
|---|---|---|---|
| OT61096688 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1982326435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11999 159TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522468",
"telephone_number": "801-502-8461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 172ND AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980522464",
"telephone_number": "801-502-8461"
}
],
"practiceLocations": [
{
"address_1": "22130 NE 133rd St",
"address_purpose": "LOCATION",
"city": "Woodinville",
"state": "WA",
"postal_code": "980777270",
"country_code": "US",
"telephone_number": "801-502-8461",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COVERSTON",
"first_name": "AMY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT61096688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.