Ivanna Boyko, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC61291172 Issued in WA

Practice address

516 176TH St E
Spanaway, WA 98387-8335

Phone

(253) 800-6000

NPI assigned

Nov 4, 2022

Sex

Female

Sole proprietor

No

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.

• Bethel School District

  • Student in an Organized Health Care Education/Training Program
  • Spanaway, WA
  • NPI 1801800727
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2022.

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1104533470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14328 SE 256TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980423622",
            "telephone_number": "253-329-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 176TH ST E",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878335",
            "telephone_number": "253-800-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKO",
        "first_name": "IVANNA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC61291172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alethea Deshone Blossomgame
• Maurysa Roseanne Blubaugh, MA
• Luc Floyd Gerard Boers-Gein, CNA
• Jackelina Bonds
• Sandra Boyer
• Julia Alayne Bradford, PT, DPT
• Krisula Maria Brady, RN-BSN
• Kallie Rose Breneman, OT
• Karla Ivonne Briceno
• Jazmin Brito, CCC-SLP

• All providers in Spanaway, WA
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.