Individual provider Active NPI

Gali Visoker

  • Occupational Therapist
  • Shoreline, WA
National Provider Identifier
1205043759
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00003675 Issued in WA
Practice address
2545 NE 200TH St
Shoreline, WA 98155-1417
Phone
(206) 364-3777
Fax
(206) 364-3999
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 OT00003675 WA Primary

Addresses

Primary practice location

2545 NE 200TH St
Shoreline, WA 98155-1417

Mailing address

PO Box 82897
Kenmore, WA 98028-0897
Phone (206) 364-3777

Other identifiers 1

IdentifierTypeStateIssuer
7682651MedicaidWA

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
OT00003675WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1205043759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82897",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980280897",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 NE 200TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981551417",
            "telephone_number": "206-364-3777",
            "fax_number": "206-364-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISOKER",
        "first_name": "GALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00003675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7682651",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.