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

PACIFIC KIDS PEDIATRIC THERAPY, LLC is a healthcare provider. based in Olympia, Washington. specializing in Clinic/Center. The organization holds a License No. OT00002502 (WA). The NPI Number for PACIFIC KIDS PEDIATRIC THERAPY, LLC is 1962556258

Main info

Organization
Name
PACIFIC KIDS PEDIATRIC THERAPY, LLC
NPI
1962556258
Phone
(360) 393-6210
Address
PO BOX 11009
Authorized Official
SHELLY BRASK OCCUPATIONAL THERAPIST OTRL
Enumeration Date
23 January 2007
Last Update Date
25 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PACIFIC KIDS PEDIATRIC THERAPY, LLC

  • PO BOX 11009

    OLYMPIA, WA 985081009

    Phone: (360) 393-6210

    Type: Mailing

  • 148 HARBORVIEW DRIVE

    BELLINGHAM, WA 98229

    Phone: (360) 393-6210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98508)

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Reviews

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Frequently asked questions

How is PACIFIC KIDS PEDIATRIC THERAPY, LLC identified in CMS data?
CMS-hosted NPPES data lists PACIFIC KIDS PEDIATRIC THERAPY, LLC with NPI 1962556258.
Does CMS list PACIFIC KIDS PEDIATRIC THERAPY, LLC as active?
Yes — PACIFIC KIDS PEDIATRIC THERAPY, LLC is active in the NPI listing used on this page.
What is PACIFIC KIDS PEDIATRIC THERAPY, LLC's primary classification?
Clinic/Center is the headline specialty for PACIFIC KIDS PEDIATRIC THERAPY, LLC here. Clinical services aligned with this taxonomy classification.
Where should I expect PACIFIC KIDS PEDIATRIC THERAPY, LLC on a map?
Expect Olympia, Washington as a primary anchor for PACIFIC KIDS PEDIATRIC THERAPY, LLC unless the record lists multiple sites.
Why does PACIFIC KIDS PEDIATRIC THERAPY, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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