PACIFIC KIDS PEDIATRIC THERAPY, LLC – NPI #1962556258
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

PACIFIC KIDS PEDIATRIC THERAPY, LLC is an AHC clinic located in BELLINGHAM, WA. NPPES has assigned the NPI number 1962556258 to PACIFIC KIDS PEDIATRIC THERAPY, LLC on January 23, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 18 years ago on Jul 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC KIDS PEDIATRIC THERAPY, LLC below.

NPI Profile for
PACIFIC KIDS PEDIATRIC THERAPY, LLC

NPI Number
1962556258
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC KIDS PEDIATRIC THERAPY, LLC
Primary location
148 HARBORVIEW DRIVE
BELLINGHAM, WA 98229
Phone: (360) 393-6210 Fax:
Mailing address
PO BOX 11009
OLYMPIA, WA 98508-1009
Phone: (360) 393-6210 Fax:
Organization Subpart
No
Authorized Official
SHELLY BRASK
OCCUPATIONAL THERAPIST
Phone: (360) 393-6210
Updated
Identifiers

Identifiers for PACIFIC KIDS PEDIATRIC THERAPY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7683923
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
WA OT00002502

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.