Ai Nakayama

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60206072 Issued in WA

Practice address

801 SE Park Crest Avenue
Vancouver, WA 98684

Phone

(360) 260-2200

Fax

(310) 323-1570

NPI assigned

Jul 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ai Takado Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sakura Life Therapy, PLLC

  dba Sakura Life Therapy

  • Home Health Agency
  • Camas, WA
  • NPI 1922799758
  NPD Authorized official

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1154635464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 NW 12TH AVE",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077985",
            "telephone_number": "425-931-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SE PARK CREST AVENUE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-260-2200",
            "fax_number": "310-323-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAYAMA",
        "first_name": "AI",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60206072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AI",
            "last_name": "TAKADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifang Naill
• Catherine D Naish, LICSW
• Bita Naji, M.D.
• Maurice Settles Najjar
• Julie Kosei Linda Nakandakare, CDPT
• Timothy Keith Katsumi Nakayama, BA
• Shazzareigh Malialani Nakoa-Chung
• Ryan M Nall
• Nalu Ventures LLC (Brooke Barak LMT)
• Nami Southwest Washington (NAMI SW WA; NAMI Clark County)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.