Christian Jean Eustaquio

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC61336996 Issued in WA

Practice address

1495 NW Gilman Blvd Ste 4
Issaquah, WA 98027-5328

Phone

(425) 392-2346

NPI assigned

Feb 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sound Children'S Therapy PLLC

  • Speech-Language Pathologist
  • Mercer Island, WA
  • NPI 1184190795
  NPD (past)

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1104523893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13407 GREENWOOD AVE N APT 311",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337339",
            "telephone_number": "661-549-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 NW GILMAN BLVD STE 4",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275328",
            "telephone_number": "425-392-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTAQUIO",
        "first_name": "CHRISTIAN",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61336996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Elizabeth Erickson, DO
• Michael Dennis Erickson, O.D.
• Carol Etherington, L.M.P.
• Kayle Juliette Etter
• William Eummer
• Elisabeth L Evans, MD
• Jacqueline P Evans, CRNA, ARNP
• Karen Blue Evenson, PT
• Evergreen Endodontics PLLC
• Evergreen Urology Consultants LLC

• Occupational Therapy Assistant in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.