KELLY TODD FLEMETAKIS


Address: 16635 168th Pl Ne, Suite 2, Woodinville, WA 98072-8988
Phone: 2066834928

KELLY TODD FLEMETAKIS (NPI# 1639211725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639211725
Entity Type Individual
Full Name KELLY TODD FLEMETAKIS
Credential MOT
Practice Address 16635 168th Pl Ne
Suite 2
Woodinville
WA 98072-8988
Practice Telephone 2066834928
Practice Fax Number 4254813332
Mailing Telephone 2066834928
Mailing Fax Number 4254813332
Enumeration Date 2007-02-13
Last Update Date 2014-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics 		OT00003368 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA PREMERA PROVIDER NUMBER 351452100000 01
WA TAX IDENTIFICATION NUMBER 743167413 01
WA 7683683 05
WA AETNA PROVIDER NUMBER 0007633803 01
WA REGENCE PROVIDER NUMBER 3153FL 01

Office Location

Street Address 16635 168TH PL NE
SUITE 2
City WOODINVILLE
State WA
Zip Code 98072-8988

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1841832466 Optum Infusion Services 501 Inc Durable Medical Equipment & Medical Supplies 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 2019-10-15
1326511973 Charyle Rae Tasanasanta Massage Therapist 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 2019-01-07
1508360868 Nitin Thapa Naturopath 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 2018-03-21
1588189963 Sally Winkel Occupational Therapist 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 2017-08-07
1548783848 Matt Clute Chiropractor 13110 Ne 177th Pl #1005, Woodinville, WA 98072 2017-07-19
1427506294 Bobbi Arnold Physical Therapy Assistant 17918 Ne 157th Street, Woodinville, WA 98072 2016-09-21
1194175208 Yu Yuan Zhang Optometrist 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 2016-06-20
1093171357 Anne Cahanin Counselor 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 2016-01-01
1710365754 Alexandra Castro Pharmacist 16427 Ne 145th St, Woodinville, WA 98072 2015-05-11
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922576974 Allison Hunt Occupational Therapist 17311 135th Ave Ne Ste C200, Woodinville, WA 98072-3564 2018-11-07
1083039598 Linda Chung Occupational Therapist 17311 135th Ave Ne, C200, Woodinville, WA 98072-3519 2014-02-20
1841592359 Karen Rogers Occupational Therapist 17311 135th Ave Ne, C200, Woodinville, WA 98072-3519 2010-12-03
1851622526 Julianne M Hegeman Occupational Therapist 17311 135th Ave Ne, C200, Woodinville, WA 98072-3519 2010-01-20
1730207986 Doreen Catherine Hunt Occupational Therapist 17311 135th Ave Ne, Suite C-200, Woodinville, WA 98072-3519 2007-03-27
1538210240 Brooken R. Sayers Occupational Therapist 17311 135th Ave Ne Ste C200, Woodinville, WA 98072-3564 2007-01-16

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1043811748 Gymnastics, Rehabilitation, and Independence Programs LLC Occupational Therapist 1304 E 5th Ave, Spokane, WA 99202-2308 2020-11-08
1457950909 Daniela Brown I Occupational Therapist 5618 N Fleming St, Spokane, WA 99205-7448 2020-10-25
1497371611 Caitlin Irene Mitchell Occupational Therapist 5334 Olympic Dr Ste 101, Gig Harbor, WA 98335-1722 2020-06-23
1033747696 Ascend Pediatric Therapy Pllc Occupational Therapist 682 Chinook Ave Se, Ocean Shores, WA 98569-9713 2020-03-30
1275171498 Bainbridge Pediatric Therapy Occupational Therapist 1173 Madison Ave N, Bainbridge Island, WA 98110-1782 2019-12-18
1932680857 Catherine Lynch Occupational Therapist 8461 Benson Rd, Lynden, WA 98264-9744 2018-08-28
1093296451 Lifestyle Improvement, LLC Occupational Therapist 4411 2nd St Sw, Puyallup, WA 98373-3726 2018-08-23
1063908382 Wildflower Pediatric Therapy LLC Occupational Therapist 304 N 34th Ave, Yakima, WA 98902-2220 2018-07-10
1184122459 Mariah Suzanne Schuster Occupational Therapist 14715 Ne Bel Red Rd Bldg G, Bellevue, WA 98007-3940 2018-01-31
1760997464 Carol Denise Woodvine Occupational Therapist 913 Horne Drive, Benton City, WA 99320 2017-12-05
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Competitor

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City WOODINVILLE
Zip Code 98072

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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