Joshua James Edward Flake III, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60508157 Issued in WA

Practice address

126 15TH St SE
Puyallup, WA 98372-3409

Phone

(253) 445-8663

Fax

(253) 445-8342

NPI assigned

Oct 5, 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

Other names 1

• Josh Flake Other name

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": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1144000183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15808 VAIL CUT OFF RD SE",
            "city": "RAINIER",
            "state": "WA",
            "postal_code": "985769620",
            "telephone_number": "253-948-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 15TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723409",
            "telephone_number": "253-445-8663",
            "fax_number": "253-445-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAKE",
        "first_name": "JOSHUA",
        "middle_name": "JAMES EDWARD",
        "name_suffix": "III",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60508157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSH",
            "last_name": "FLAKE",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.