Individual provider Active NPI

Camille Banay, O.T.

  • Occupational Therapist
  • Bellingham, WA
National Provider Identifier
1083816995
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
61570199 Issued in WA
Practice address
2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759
Phone
(865) 352-4077
NPI assigned
Jun 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 6617 TN
Occupational Therapist 225X00000X 61570199 WA Primary

Addresses

Primary practice location

2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759

Mailing address

2219 Rimland Dr Ste 301
Bellingham, WA 98226-8759
Phone (865) 352-4077

Other names 1

  • Mrs. Camille Gottfried Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250530002114 WA Practitioner - Occupational Therapist in Private Practice 4880020155 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2219 Rimland Dr
Suite 301
Bellingham, WA 98226-8759
Phone (865) 352-4077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6617TNMDProfessional Counselor
61570199WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1083816995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 RIMLAND DR STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268759",
            "telephone_number": "865-352-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 RIMLAND DR STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268759",
            "telephone_number": "865-352-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAY",
        "first_name": "CAMILLE",
        "name_prefix": "Ms.",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-03",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6617",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61570199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "GOTTFRIED",
            "prefix": "MRS.",
            "credential": "OCCUPATIONAL THERAPI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; 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.