Individual provider Active NPI

Andrew Joseph Ybarra, LMP

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1477715092
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 60530123 Issued in WA
Practice address
2821 NW Market St
Suite E
Seattle, WA 98107-5815
Phone
(206) 706-0063
Fax
(206) 508-1265
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60083915 WA
Occupational Therapist 225X00000X OT 60530123 WA Primary

Addresses

Primary practice location

2821 NW Market St
Suite E
Seattle, WA 98107-5815

Mailing address

2821 NW Market St
Suite E
Seattle, WA 98107-5815
Phone (206) 706-0063

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA60083915WAMDMassage Therapist
OT 60530123WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanceot, Inc. Past Accepting new patients
Integrated Rehabilitation Group, PC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1477715092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 NW MARKET ST",
            "address_2": "SUITE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075815",
            "telephone_number": "206-706-0063",
            "fax_number": "206-508-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 NW MARKET ST",
            "address_2": "SUITE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075815",
            "telephone_number": "206-706-0063",
            "fax_number": "206-508-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60083915",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 60530123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.