Keith R Washington, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1778 Issued in CT

Practice address

515 Audubon Ave
New York, NY 10040-3403

Phone

(212) 342-9200

NPI assigned

Jun 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1093245805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FARMINGTON AVE APT A12",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AUDUBON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403403",
            "telephone_number": "212-342-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "8813",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl Llamont Washington
• Eric James Washington
• Fontae Washington
• Jessie Washington, PHD, MSW, MBA
• Joshua Washington, AU.D., F-AAA
• Lindsey Washington
• Michelle N Washington
• Neta Champaign Washington
• Rommell Eric Washington, LCSW
• Selena Adna Washington, D.P.T.

• Occupational Therapy Assistant in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.