Active NPI
Myriah Shekinah Olakpe, MS, OTR/L
- Occupational Therapist
- Puyallup, WA
National Provider Identifier
1063919470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60993392
- Practice address
- 516 SE 23Rd Ave
Puyallup, WA 98372 - Phone
- (235) 845-6631
- Fax
- (412) 741-6808
- NPI assigned
- Apr 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015018 | PA | |
| Occupational Therapist | 225X00000X | OT60993392 | WA | Primary |
Addresses
Primary practice location
516 SE 23Rd Ave
Puyallup, WA 98372
Mailing address
516 SE 23Rd Ave
Puyallup, WA 98372
Phone (235) 845-6631
Other names 1
- Myriah Shekinah Kingston
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC015018 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1063919470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 SE 23RD AVE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98372",
"telephone_number": "235-845-6631",
"fax_number": "412-741-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 SE 23RD AVE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98372",
"telephone_number": "235-845-6631",
"fax_number": "412-741-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAKPE",
"first_name": "MYRIAH",
"middle_name": "SHEKINAH",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-11",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015018",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60993392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MYRIAH",
"last_name": "KINGSTON",
"middle_name": "SHEKINAH",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.