Active NPI
Krystal Maria Aguirre, COTA
- Occupational Therapy Assistant
- Everett, WA
National Provider Identifier
1376354753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OC60820545
- 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, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 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
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 |
|---|---|---|---|
| OC60820545 | WA | MD | Occupational 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.