IndividualActive
Rebecca Mermod, COTA
NPI 1407053077 · Occupational Therapy Assistant · Port Angeles, WA
Provider details
- NPI number
- 1407053077
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OC00000662 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1116 E Lauridsen Blvd
Port Angeles, WA 98362-6640
Phone: (360) 452-9206
Street-level locationGet directions
Mailing address
395 Fort Gate Rd
Nordland, WA 98358-9516
Registry dates
- Enumerated
- 2007-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.