Individual provider Active NPI

Miraflor Taboada

  • Occupational Therapist
  • Dupont, WA
National Provider Identifier
1508079922
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60188638 Issued in WA
Practice address
1584 McNeil St Ste 240
Dupont, WA 98327-8793
Phone
(253) 549-1524
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006855 OH
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT60188638 WA Primary

Addresses

Primary practice location

1584 McNeil St Ste 240
Dupont, WA 98327-8793

Mailing address

2528 Teslin St
Juneau, AK 99801-9085
Phone (907) 958-6628

Other practice location 1

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone (907) 957-6628

Other practice location 2

625 Probasco St
Cincinnati, OH 45220-2710
Phone (513) 281-2464 ext. 1144

Other practice location 3

909 S 336th St Ste 100
Federal Way, WA 98003-7394
Phone (253) 661-5166

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
006855OHMDOccupational Therapist
OT60188638WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1508079922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 TESLIN ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019085",
            "telephone_number": "907-958-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 MCNEIL ST STE 240",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278793",
            "telephone_number": "253-549-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2901 Bridgeport Way W",
            "address_purpose": "LOCATION",
            "city": "University Place",
            "state": "WA",
            "postal_code": "984664614",
            "country_code": "US",
            "telephone_number": "907-957-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Probasco St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452202710",
            "country_code": "US",
            "telephone_number": "513-281-2464 x1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 S 336th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980037394",
            "country_code": "US",
            "telephone_number": "253-661-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOADA",
        "first_name": "MIRAFLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "006855",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60188638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.