OrganizationActive
Pacific Kids Pediatric Therapy, LLC
NPI 1962556258 · Clinic/Center · Bellingham, WA
Provider details
- NPI number
- 1962556258
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelly Brask, Occupational Therapist(360) 393-6210
- License
- OT00002502 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
148 Harborview Drive
Bellingham, WA 98229
Phone: (360) 393-6210
Street-level locationGet directions
Mailing address
Po Box 11009
Olympia, WA 98508-1009
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2008-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.