Individual provider Active NPI

Deana Ann Ostgard, COTA/L

  • Occupational Therapy Assistant
  • Enumclaw, WA
National Provider Identifier
1407256399
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
LA 60497514 Issued in WA
Practice address
2929 McDougall Ave
Enumclaw, WA 98022-7410
Phone
(360) 802-7125
Fax
(360) 802-7140
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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 LA 60497514 WA Primary

Addresses

Primary practice location

2929 McDougall Ave
Enumclaw, WA 98022-7410

Mailing address

2929 McDougall Ave
Enumclaw, WA 98022-7410
Phone (360) 802-7125

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
LA 60497514WAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enumclaw School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1407256399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 MCDOUGALL AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980227410",
            "telephone_number": "360-802-7125",
            "fax_number": "360-802-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 MCDOUGALL AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980227410",
            "telephone_number": "360-802-7125",
            "fax_number": "360-802-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTGARD",
        "first_name": "DEANA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "LA 60497514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.