Individual provider Active NPI

Jacqueline Earl Ray, OTR/L MBA

  • Occupational Therapist
  • Yakima, WA
National Provider Identifier
1063745362
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00002494 Issued in WA
Practice address
1005 S 90TH Ave # 1
Yakima, WA 98908-9354
Phone
(509) 961-3510
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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 OT00002494 WA Primary

Addresses

Primary practice location

1005 S 90TH Ave # 1
Yakima, WA 98908-9354

Mailing address

1005 S 90TH Ave # 1
Yakima, WA 98908-9354
Phone (509) 961-3510

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)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
OT00002494WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainview Home Health, LLC Current Accepting new patients
Cascade Summit Physical Therapy Inc PS Past 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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1063745362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 S 90TH AVE # 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089354",
            "telephone_number": "509-961-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 S 90TH AVE # 1",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089354",
            "telephone_number": "509-961-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JACQUELINE",
        "middle_name": "EARL",
        "credential": "OTR/L MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.