Active NPI
Mikha'El Eliyahu
- Occupational Therapist
- Ridgefield, WA
National Provider Identifier
1154750917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 8707 N 1St St
Ridgefield, WA 98642-5564 - Phone
- (256) 426-9529
- NPI assigned
- Nov 2, 2013
- Last updated
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | DC | Primary |
Addresses
Primary practice location
8707 N 1St St
Ridgefield, WA 98642-5564
Mailing address
3823 Hamilton St Apt 103
Hyattsville, MD 20781-1831
Phone (256) 426-9529
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1154750917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3823 HAMILTON ST APT 103",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207811831",
"telephone_number": "256-426-9529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8707 N 1ST ST",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986425564",
"telephone_number": "256-426-9529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIYAHU",
"first_name": "MIKHA'EL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-02",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.