Julie A Javonillo, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC00000828 Issued in WA

Practice address

21711 256TH Ave SE
Maple Valley, WA 98038-7629

Phone

(253) 205-6067

NPI assigned

Aug 12, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1326327073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15630 SE 262ND PL",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "98042",
            "telephone_number": "253-236-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21711 256TH AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980387629",
            "telephone_number": "253-205-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVONILLO",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00000828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hunsberger, LMHCA
• Unknown Indu Singh
• Chester Edmond Jangala, MD
• Josephine Jarvis, MA, OTR-L
• Kenneth L Jasman, PHARMACIST
• Susan Jenks, COTA
• Laura Jimenez, ND
• Joel M Rude DMD PS
• Johnny Le PLLC
• Linda Rae Johnson, LMP

• Occupational Therapy Assistant in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.