Individual provider Active NPI

Andre Washington, OTR/L

  • Occupational Therapist
  • Ocala, FL
National Provider Identifier
1407527534
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21747 Issued in FL
Practice address
9174 SW 81St CT
Ocala, FL 34481-7846
Phone
(352) 509-5201
NPI assigned
Sep 28, 2021
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 22082 CA
Occupational Therapist 225X00000X 61130675 WA
Occupational Therapist 225X00000X 121432 TX
Occupational Therapist 225X00000X 21747 FL Primary

Addresses

Primary practice location

9174 SW 81St CT
Ocala, FL 34481-7846

Mailing address

370 Brookcrest Cir
Rockledge, FL 32955-4749

Other practice location 1

1506 Childress St
Wellington, TX 79095-4108
Phone (806) 447-2513

Other practice location 2

1821 Grove St
Marysville, WA 98270-4329
Phone (360) 659-3926

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
121432TXMDHome Modifications Contractor
22082CAMDPhysical Therapist
21747FLMDOccupational Therapist
61130675WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1407527534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BROOKCREST CIR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 SW 81ST CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817846",
            "telephone_number": "352-509-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 Childress St",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "TX",
            "postal_code": "790954108",
            "country_code": "US",
            "telephone_number": "806-447-2513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Grove St",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704329",
            "country_code": "US",
            "telephone_number": "360-659-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANDRE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22082",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "61130675",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121432",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "21747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.