Individual provider Active NPI

Joy E Eastgate, O.T.

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1407928534
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000949 Issued in WA
Practice address
2118 W Garland Ave
Spokane, WA 99205-2526
Phone
(509) 326-1651
Fax
(509) 326-1658
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT00000949 WA Primary

Addresses

Primary practice location

2118 W Garland Ave
Spokane, WA 99205-2526

Mailing address

2118 W Garland Ave
Spokane, WA 99205-2526
Phone (509) 326-1651

Other identifiers 3

IdentifierTypeStateIssuer
000010147794OtherIDREGENCE BLUE SHIELD
8930559OtherWADEPT LABOR & INDUSTRIES
1398EAOtherWAASURIS NW HEALTH

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
OT00000949WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Guilds' School & Neuromuscular Center 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407928534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 W GARLAND AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992052526",
            "telephone_number": "509-326-1651",
            "fax_number": "509-326-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTGATE",
        "first_name": "JOY",
        "middle_name": "E",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00000949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "000010147794",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRIES",
            "identifier": "8930559",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASURIS NW HEALTH",
            "identifier": "1398EA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.