Individual provider Active NPI

Rochele Cadiz Donato, MS, OTR/L

  • Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1063168540
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT61142954 Issued in WA
Practice address
7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337
Phone
(360) 597-4048
Fax
(360) 597-4572
NPI assigned
Feb 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT61142954 WA Primary

Addresses

Primary practice location

7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337

Mailing address

986 Oak Leaf Dr
Colton, CA 92324-4594
Phone (909) 279-4662

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rochele@prismpediatrics.com Health Information Exchange (HIE)

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT61142954WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Pediatric Therapy Associates PLLC PastSince Jun 12, 2022 Accepting new patients
Speech and Occupational Specialists, LLC Occupational Therapist PastSince Feb 27, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1063168540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 OAK LEAF DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923244594",
            "telephone_number": "909-279-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658337",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "ROCHELE",
        "middle_name": "CADIZ",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61142954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rochele@prismpediatrics.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7409 NE Hazel Dell Ave Ste 112",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986658337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.