Individual provider Active NPI

Trina Lunstrum Volk, OCCUPATIONAL THERAPY

  • Pediatric Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1144381047
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT00003758 Issued in WA
Practice address
7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337
Phone
(360) 597-4048
Fax
(360) 597-4572
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT00003758 WA Primary

Addresses

Primary practice location

7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337

Mailing address

7409 NE Hazel Dell Ave Ste 112
Vancouver, WA 98665-8337
Phone (360) 597-4048

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT00003758WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prism Pediatric Therapy Associates PLLC Pediatrics PastSince Oct 1, 2023 Accepting new patients
Speech and Occupational Specialists, LLC Occupational Therapist PastSince Oct 1, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1144381047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658337",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 NE HAZEL DELL AVE STE 112",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658337",
            "telephone_number": "360-597-4048",
            "fax_number": "360-597-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLK",
        "first_name": "TRINA",
        "middle_name": "LUNSTRUM",
        "name_prefix": "Mrs.",
        "credential": "OCCUPATIONAL THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT00003758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.