Active NPI
Trisha Trujillo, O.T.D., OTR/L
- Occupational Therapist
- Port Orchard, WA
National Provider Identifier
1174906762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60554371
- Practice address
- 425 Mitchell Ave
Port Orchard, WA 98366-4114 - Phone
- (360) 874-7000
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- 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 | 60554371 | WA | Primary |
Addresses
Primary practice location
425 Mitchell Ave
Port Orchard, WA 98366-4114
Mailing address
2219 Martin Ave E
Port Orchard, WA 98366-8215
Phone (360) 979-9230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60554371 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1174906762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 MARTIN AVE E",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983668215",
"telephone_number": "360-979-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MITCHELL AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983664114",
"telephone_number": "360-874-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "TRISHA",
"credential": "O.T.D., OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60554371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.