Healthcare Provider Details

I. General information

NPI: 1306316898
Provider Name (Legal Business Name): DAVID CACANINDIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2018
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 NE 133RD ST
SEATTLE WA
98125-3014
US

IV. Provider business mailing address

133 NE 133RD ST
SEATTLE WA
98125-3014
US

V. Phone/Fax

Practice location:
  • Phone: 971-371-8240
  • Fax:
Mailing address:
  • Phone: 971-371-8240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberOT61308003
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT61308003
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License NumberOT61308003
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License NumberOT61308003
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT61308003
License Number StateWA
# 6
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT61308003
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT61308003
License Number StateWA
# 8
Primary TaxonomyN
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License NumberOT61308003
License Number StateWA
# 9
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT61308003
License Number StateWA
# 10
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License NumberOT61308003
License Number StateWA
# 11
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT61308003
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: