Ji Young Shin, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61282720 Issued in WA

Practice address

6965 California Ave SW
Seattle, WA 98136-1953

Phone

(425) 677-0276

NPI assigned

Jun 12, 2022

Last updated

Jun 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

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.

• Jamie Huizinga PLLC

  dba Jamie Huizinga

  • Occupational Therapist
  • Seattle, WA
  • NPI 1497258792
  NPD
• Pediatric Therapy Collective PLLC

  • Occupational Therapist
  • Seattle, WA
  • NPI 1225927890
  NPD

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1376273540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 TERRY AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042282",
            "telephone_number": "253-292-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361953",
            "telephone_number": "425-677-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "JI YOUNG",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61282720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Yujin Shin
• Eun Sup Shin, D.M.D
• Harry Young Shin
• Hyunjung Shin
• Jayne Shin
• Jiye Shin, L.AC.
• Kseniya Shin
• Rachel Shinabarger, LMHCA
• Shine Functional Medicine LLC
• Shine on Health

• Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; 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.