Active NPI
Ryan Walter, OTR
- Occupational Therapist
- Lynnwood, WA
National Provider Identifier
1194313221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60984833
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60984833 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands for Living LLC | Occupational Therapist | Current | 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.