Active NPI
Julie Vanantwerp, OT/L
- Occupational Therapist
- Port Angeles, WA
National Provider Identifier
1407191844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60108298
- Practice address
- 216 E 4TH St
Port Angeles, WA 98362-3200 - Phone
- (360) 357-8575
- NPI assigned
- Dec 11, 2012
- 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 Therapist | 225X00000X | OT 60108298 | WA | Primary |
Addresses
Primary practice location
216 E 4TH St
Port Angeles, WA 98362-3200
Mailing address
PO Box 3183
Port Angeles, WA 98362-0341
Phone (616) 403-6632
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 |
|---|---|---|---|
| OT 60108298 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1407191844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3183",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983620341",
"telephone_number": "616-403-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 E 4TH ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983623200",
"telephone_number": "360-357-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANANTWERP",
"first_name": "JULIE",
"credential": "OT/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-11",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60108298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.