Provider Demographics
NPI:1023059342
Name:WHITRIGHT, PATSY L (OT)
Entity type:Individual
Prefix:
First Name:PATSY
Middle Name:L
Last Name:WHITRIGHT
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 132ND ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-7203
Mailing Address - Country:US
Mailing Address - Phone:425-330-0633
Mailing Address - Fax:425-338-9637
Practice Address - Street 1:5029 EVERGREEN WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2826
Practice Address - Country:US
Practice Address - Phone:425-252-1642
Practice Address - Fax:425-258-1824
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XH1200X
WAOT00000621225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0201978OtherDEPT. OF LABOR & INDUSTRY
WA8939860OtherL&I CRIME VICTIMS
WA5029WHOtherREGENCE BLUE SHIELD
WA2250WHOtherREGENCE BLUE SHIELD
WA911745305-98026-A017OtherTRICARE
WA911745305-98053-A009OtherTRICARE
WA4582WHOtherREGENCE BLUE SHIELD
WA911745305-98223-A019OtherTRICARE
WA8750WHOtherREGENCE BLUE SHIELD
WA911745305-98290-A010OtherTRICARE
WA4614420OtherAETNA
WA7907WHOtherREGENCE BLUE SHIELD
WA8413239Medicaid
WA7907WHOtherREGENCE BLUE SHIELD
WA911745305-98290-A010OtherTRICARE