Individual provider Active NPI

Ryan Testori, OTR

  • Occupational Therapist
  • Vancouver, WA
National Provider Identifier
1154691376
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 60133993 Issued in WA
Practice address
14217 NW 8TH Ave
Vancouver, WA 98685-1704
Phone
(586) 530-2104
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT 14880 FL
Occupational Therapist 225X00000X OT 60133993 WA Primary
Occupational Therapist 225X00000X 1019660 OR
Occupational Therapist 225X00000X 5201004139 MI

Addresses

Primary practice location

14217 NW 8TH Ave
Vancouver, WA 98685-1704

Mailing address

14217 NW 8TH Ave
Vancouver, WA 98685-1704
Phone (586) 530-2104

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT 14880FLMDOccupational Therapist
5201004139MIMDOccupational Therapist
1019660ORMDOccupational Therapist
OT 60133993WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1154691376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14217 NW 8TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851704",
            "telephone_number": "586-530-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14217 NW 8TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986851704",
            "telephone_number": "586-530-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTORI",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT 14880",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60133993",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1019660",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004139",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 4, 2012; 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.