NPIMap

Individual provider Active NPI

Raymond Malstead, OTR/L

  • Occupational Therapist
  • Wenatchee, WA
National Provider Identifier
1154722544
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
00003542 Issued in WA
Practice address
3696 Burchvale Rd
Wenatchee, WA 98801-9649
Phone
(509) 860-2536
NPI assigned
Sep 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X 00003542 WA
Gerontology Occupational Therapist 225XG0600X 00003542 WA
Human Factors Occupational Therapist 225XH1300X 00003542 WA
Neurorehabilitation Occupational Therapist 225XN1300X 00003542 WA
Physical Rehabilitation Occupational Therapist 225XP0019X 00003542 WA
Driving and Community Mobility Occupational Therapist 225XR0403X 00003542 WA
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 00003542 WA Primary

Addresses

Primary practice location

3696 Burchvale Rd
Wenatchee, WA 98801-9649

Mailing address

3696 Burchvale Rd
Wenatchee, WA 98801-9649
Phone (509) 860-2536

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
00003542WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1154722544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3696 BURCHVALE RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019649",
            "telephone_number": "509-860-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 BURCHVALE RD",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988019649",
            "telephone_number": "509-860-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALSTEAD",
        "first_name": "RAYMOND",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "WA",
            "license": "00003542",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00003542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.