Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas G Kasovac, MSOT, OTR/L, IMH-E

Individual provider Pediatric Occupational Therapist · NPI 1306560503

Nicholas G Kasovac, MSOT, OTR/L, IMH-E is a Pediatric Occupational Therapist in Puyallup, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2929 5th Ave NE
Puyallup, WA 98372-6782
Phone: (253) 447-8216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OT61218903 (WA)

Record details

NPI number1306560503
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOT , OTR/L , IMH-E
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

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