Victor Charles Withers, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00003196 Issued in WA

Practice address

716 E Edison Ave
Sunnyside, WA 98944-2204

Phone

(509) 837-4455

Fax

(509) 837-6299

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Therapy Services, PLLCGroup PAC ID 8820986649, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Therapy Services, PLLC

  • Physical Therapist
  • Sunnyside, WA
  • NPI 1225175474
  Medicare reassignment Care Compare group Authorized official
• Westside Physical Therapy and Sports Medicine Inc PS

  • Physical Therapist
  • Yakima, WA
  • NPI 1821080987

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1023086923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442204",
            "telephone_number": "509-837-4455",
            "fax_number": "509-837-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442204",
            "telephone_number": "509-837-4455",
            "fax_number": "509-837-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "VICTOR",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "OTR  L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682248",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln Jon Westfall, D.O.
• Helena Marie White, LMT
• Chad Garth Williams, M.D.
• David Lawrence Wilson, CDP
• Kayla Withers, DPT
• Douglas Edward Wrung, MD
• Natalie Susanne Wutzke, LMT
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services

• Occupational Therapist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.