Active NPI
Jenevive Chua Obleada, OTR/L
- Occupational Therapist
- Seattle, WA
National Provider Identifier
1295175032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00004430
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 744-2506
- Fax
- (206) 744-2642
- NPI assigned
- Jun 25, 2013
- Last updated
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 00004430 | WA | Primary |
| Ergonomics Occupational Therapist | 225XE1200X | 00004430 | WA | |
| Hand Occupational Therapist | 225XH1200X | 00004430 | WA | |
| Human Factors Occupational Therapist | 225XH1300X | 00004430 | WA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 00004430 | WA | |
| Pediatric Occupational Therapist | 225XP0200X | 00004430 | WA |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
325 9TH Ave
Seattle, WA 98104-2420
Phone (206) 744-2506
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 |
|---|---|---|---|
| 00004430 | WA | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1295175032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-2506",
"fax_number": "206-744-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-2506",
"fax_number": "206-744-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBLEADA",
"first_name": "JENEVIVE",
"middle_name": "CHUA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00004430",
"primary": true
},
{
"code": "225XE1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Ergonomics",
"state": "WA",
"license": "00004430",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "00004430",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "WA",
"license": "00004430",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "WA",
"license": "00004430",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "00004430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.