Olesya Gorbachevskaya, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60368600 Issued in WA

Practice address

13006 SE 266TH PL
Kent, WA 98030-7982

Phone

(206) 876-0547

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1407240690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13006 SE 266TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307982",
            "telephone_number": "206-876-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13006 SE 266TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307982",
            "telephone_number": "206-876-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORBACHEVSKAYA",
        "first_name": "OLESYA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60368600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dasahquayla Coretta Good
• Sarah Goodale
• Brian Wayne Goodell, M.D.
• Charles Randall Gooding, SUDP
• Patricia Goodwin
• Gordon B Rosengren, DDS, Inc, PS
• Tia I Gordon
• Melissa Sue Goshe, MA ED
• Constance Gosnell
• George James Gosztola, D.D.S.

• Occupational Therapy Assistant in Kent, WA
• Providers in Kent, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.