Individual provider Active NPI

Christopher Bocker, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1275562449
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2066 Issued in WA
Practice address
11400 SE 6TH St
Ste 105
Bellevue, WA 98004-6419
Phone
(206) 448-1906
NPI assigned
Jul 1, 2006
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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 2066 WA Primary

Addresses

Primary practice location

11400 SE 6TH St
Ste 105
Bellevue, WA 98004-6419

Mailing address

11400 SE 6TH St
Ste 105
Bellevue, WA 98004-6419
Phone (206) 448-1906

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060816000189 WA Practitioner - Occupational Therapist in Private Practice 7214930056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esrc PLLCGroup PAC ID 9638254907, 7 clinicians

Practice addresses (Care Compare)

11400 SE 6TH St
Suite 105
Bellevue, WA 98004-6419
Phone (425) 576-8180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2066WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Esrc PLLC CurrentSince Mar 31, 2020 Accepting new patients

Locations

11400 SE 6th St
Ste 105
Bellevue, WA 98004
Phone (425) 576-8180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1275562449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST",
            "address_2": "STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046419",
            "telephone_number": "206-448-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 SE 6TH ST",
            "address_2": "STE 105",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046419",
            "telephone_number": "206-448-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "2066",
            "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 Feb 26, 2020; 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.