Active NPI
Yana Onishchenko, COTA/L
- Occupational Therapy Assistant
- University Place, WA
National Provider Identifier
1053881052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OC60916646
- Practice address
- 3717 Grandview Dr W
University Place, WA 98466-2138 - Phone
- (253) 878-4052
- NPI assigned
- Dec 3, 2018
- Last updated
- Dec 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OC60916646 | WA | Primary |
Addresses
Primary practice location
3717 Grandview Dr W
University Place, WA 98466-2138
Mailing address
2907 SW 315TH St
Federal Way, WA 98023-7836
Phone (253) 878-4052
Other practice location 1
2907 SW 315th St
Federal Way, WA 98023-7836
Phone (253) 878-4052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC60916646 | WA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543795200000",
"number": "1053881052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2907 SW 315TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980237836",
"telephone_number": "253-878-4052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 GRANDVIEW DR W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984662138",
"telephone_number": "253-878-4052"
}
],
"practiceLocations": [
{
"address_1": "2907 SW 315th St",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980237836",
"country_code": "US",
"telephone_number": "253-878-4052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ONISHCHENKO",
"first_name": "YANA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-03",
"last_updated": "2018-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC60916646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.