Active NPI
Jon-Erik Golob, MS, OTR/L
- Occupational Therapist
- Redmond, WA
National Provider Identifier
1578063434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 60817748
- Practice address
- 7900 Willows Rd NE
Redmond, WA 98052-6813 - Phone
- (425) 885-0808
- NPI assigned
- Feb 17, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 60817748 | WA | Primary |
Addresses
Primary practice location
7900 Willows Rd NE
Redmond, WA 98052-6813
Mailing address
13804 NE 70TH PL
Redmond, WA 98052-9427
Phone (360) 329-2034
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60817748 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518825600000",
"number": "1578063434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13804 NE 70TH PL",
"city": "REDMOND",
"state": "WA",
"postal_code": "980529427",
"telephone_number": "360-329-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 WILLOWS RD NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980526813",
"telephone_number": "425-885-0808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLOB",
"first_name": "JON-ERIK",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-17",
"last_updated": "2018-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "60817748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redmond, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.