MEDICARE: 360 PEDIATRIC THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1710775762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	360 PEDIATRIC THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 31724
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-1724
Country	:	US
Telephone Number	:	206-713-9492
Fax Number	:

Provider Business Practice Location Address
First Line	:	723 N 78TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-4730
Country	:	US
Telephone Number	:	206-713-9492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HEATHER D SCHUMAN, MS, OTR/L
Credential	:	OTR/L
Telephone Number	:	206-713-9492

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	04/29/2025

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