Active NPI
Ryan Wilson, OT
- Occupational Therapist
- Seattle, WA
National Provider Identifier
1346889359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60662045
- Practice address
- 8320 5TH Ave NE Ste a
Seattle, WA 98115-4174 - Phone
- (206) 650-8653
- NPI assigned
- Dec 23, 2019
- 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 Therapist | 225X00000X | OT60662045 | WA | Primary |
Addresses
Primary practice location
8320 5TH Ave NE Ste a
Seattle, WA 98115-4174
Mailing address
8320 5TH Ave NE Ste a
Seattle, WA 98115-4174
Phone (206) 650-8653
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 |
|---|---|---|---|
| OT60662045 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1346889359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 5TH AVE NE STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154174",
"telephone_number": "206-650-8653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8320 5TH AVE NE STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981154174",
"telephone_number": "206-650-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "RYAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-23",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60662045",
"primary": true
}
],
"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 Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.