PNW HOME FOR LIFE PLLC
NPI 1649800608
Occupational Therapist - Environmental Modification in Anacortes, WA

Active since January 18, 2020
4815 SHARPE RD, ANACORTES, WA 98221(360) 770-1752 Get Directions Write a Review

NPPES record last updated: January 18, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pnw Home For Life Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PNW HOME FOR LIFE PLLC (NPI 1649800608) is a healthcare organization registered as an environmental modification in Anacortes, Washington and active in the NPI registry since January 2020. The organization lists Connie Colleen Wyatt, Occupational Therapist, as its authorized official.

NPPES Registry Identity

NPI1649800608
Entity TypeOrganization
Primary Taxonomy225XE0001X
Legal Business NamePNW HOME FOR LIFE PLLC
Location Address4815 SHARPE RDAnacortes, WA 98221-8403
Mailing Address4815 Sharpe RdAnacortes, WA 98221-8403 · (360) 770-1752
Organization SubpartNo
Authorized OfficialConnie Colleen WyattOccupational Therapist · (360) 770-1752
Enumeration DateJanuary 18, 2020
✔ NPI 1649800608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · Environmental ModificationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XE0001X
Definition
Occupational therapy practitioners are experts at identifying the cause of difficulties in performance of activities of daily living and instrumental activities of daily living. Occupational therapy practitioners evaluate the client, their environment, and their occupational performance in that environment, as well as make recommendations for products to improve the fit between the client, place, and activity. Occupational therapists can evaluate both the skills of the client and the environmental features that support or limit the performance of meaningful or necessary activities, thereby enhancing health, safety and well-being. Based on this assessment, they recommend modification and intervention strategies that improve the fit between the person and his or her environment.
4815 SHARPE RD, Anacortes, WA 98221

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pnw Home For Life Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pnw Home For Life PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Occupational Therapist in Private Practice
NPI 1992345011
4815 SHARPE RD
Anacortes, WA 98221
(360) 770-1752
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1760335509
1805 11TH ST
Anacortes, WA 98221
(719) 510-7020
✔ Accepts Medicare4.7 mi
Occupational Therapist in Private Practice
NPI 1346847936
24301 SOUTHLAND DR
Hayward, CA 94545
(510) 440-1383
✔ Accepts Medicare745 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pnw Home For Life PLLC's NPI number?

The NPI number for Pnw Home For Life PLLC is 1649800608. It was assigned to this organization in the NPPES registry on January 18, 2020.

Where is Pnw Home For Life PLLC located?

Pnw Home For Life PLLC is located at 4815 Sharpe Rd, Anacortes, WA 98221. The listed phone number is (360) 770-1752.

What is Pnw Home For Life PLLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Environmental Modification, with taxonomy code 225XE0001X.

Is Pnw Home For Life PLLC enrolled in Medicare?

Yes. Pnw Home For Life PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pnw Home For Life PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Occupational Therapist in Private Practice, reassign their Medicare billing to Pnw Home For Life PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pnw Home For Life PLLC was last updated on January 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.