Active NPI
Arnold Agraviador
- Occupational Therapy Assistant
- Bellevue, WA
National Provider Identifier
1215716568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OC61360597
- Practice address
- 933 111TH Ave NE
Bellevue, WA 98004-4486 - Phone
- (425) 504-8821
- NPI assigned
- Sep 26, 2023
- Last updated
- Sep 26, 2023
- 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 Therapy Assistant | 224Z00000X | OC61360597 | WA | Primary |
Addresses
Primary practice location
933 111TH Ave NE
Bellevue, WA 98004-4486
Mailing address
2580 118TH Ave SE Apt 2-104
Bellevue, WA 98005-8161
Phone (310) 999-9193
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC61360597 | WA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1215716568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 118TH AVE SE APT 2-104",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980058161",
"telephone_number": "310-999-9193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 111TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044486",
"telephone_number": "425-504-8821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGRAVIADOR",
"first_name": "ARNOLD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WA",
"license": "OC61360597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.