Individual provider Active NPI

Krystal Maria Aguirre, COTA

  • Occupational Therapy Assistant
  • Everett, WA
National Provider Identifier
1376354753
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC60820545 Issued in WA
Practice address
728 134TH St SW Ste 203
Everett, WA 98204-5322
Phone
(425) 745-4345
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60820545 WA Primary

Addresses

Primary practice location

728 134TH St SW Ste 203
Everett, WA 98204-5322

Mailing address

9206 172ND St NW
Stanwood, WA 98292-3400
Phone (360) 202-3642

Other practice location 1

9206 172nd St NW
Stanwood, WA 98292-3400
Phone (360) 202-3642

Other names 1

  • Miss Krystal Aguirre Professional name

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

LicenseStateTypeSpecialty
OC60820545WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1376354753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9206 172ND ST NW",
            "city": "STANWOOD",
            "state": "WA",
            "postal_code": "982923400",
            "telephone_number": "360-202-3642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 134TH ST SW STE 203",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982045322",
            "telephone_number": "425-745-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9206 172nd St NW",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "WA",
            "postal_code": "982923400",
            "country_code": "US",
            "telephone_number": "360-202-3642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "KRYSTAL",
        "middle_name": "MARIA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60820545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTAL",
            "last_name": "AGUIRRE",
            "prefix": "MISS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.