Active NPI
Sasha Naz Moinzadeh, OTR
- Specialist
- Bellevue, WA
National Provider Identifier
1457564478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT00003778
- Practice address
- 507 150TH PL NE
Bellevue, WA 98007-5060 - Phone
- (425) 736-8244
- NPI assigned
- May 7, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT00003778 | WA | Primary |
Addresses
Primary practice location
507 150TH PL NE
Bellevue, WA 98007-5060
Mailing address
PO Box 6877
Bellevue, WA 98008-0878
Phone (425) 736-8244
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 |
|---|---|---|---|
| OT00003778 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457564478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6877",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980080878",
"telephone_number": "425-736-8244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 150TH PL NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980075060",
"telephone_number": "425-736-8244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOINZADEH",
"first_name": "SASHA",
"middle_name": "NAZ",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "OT00003778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, 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.