Individual provider Active NPI

Ryan Walter, OTR

  • Occupational Therapist
  • Lynnwood, WA
National Provider Identifier
1194313221
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
60984833 Issued in WA
Practice address
19221 36TH Ave W Ste 213
Lynnwood, WA 98036-5700
Phone
(425) 368-7943
NPI assigned
Jan 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 60984833 WA Primary

Addresses

Primary practice location

19221 36TH Ave W Ste 213
Lynnwood, WA 98036-5700

Mailing address

19221 36TH Ave W Ste 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210225000708 WA Practitioner - Occupational Therapist in Private Practice 6507271566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands for Living LLCGroup PAC ID 4284891656, 14 clinicians

Practice addresses (Care Compare)

19221 36TH Ave W
Suite 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60984833WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands for Living LLC Occupational Therapist CurrentSince Jan 18, 2021 Accepting new patients

Locations

19221 36th Ave W
Ste 213
Lynnwood, WA 98036
Phone (425) 368-7943

16150 NE 85th St
Ste 116
Redmond, WA 98052
Phone (425) 881-1921

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1194313221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 213",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-368-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 213",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-368-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "RYAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60984833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.