Individual provider Active NPI

Danielle Sewell, OTR

  • Hand Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1609510544
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
Practice address
1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740
Phone
(259) 993-5804
Fax
(425) 999-3122
NPI assigned
Apr 26, 2022
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X Primary

Addresses

Primary practice location

1200 112TH Ave NE Ste C210
Bellevue, WA 98004-3740

Mailing address

208 Westminster Dr
Lewisville, TX 75056-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721000503 TX Practitioner - Occupational Therapist in Private Practice 8224407978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

6750 N Macarthur Blvd
Suite 102
Irving, TX 75039-2875
Phone (945) 212-0030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121028TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC CurrentSince Jun 30, 2025 Accepting new patients

Locations

12228 N Central Expy
Ste 300
Dallas, TX 75243
Phone (469) 706-3760

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

331 Las Colinas Blvd E
Irving, TX 75039
Phone (972) 256-7114

6750 N MacArthur Blvd
Ste 102
Irving, TX 75039
Phone (945) 212-0030

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1609510544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 WESTMINSTER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 112TH AVE NE STE C210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043740",
            "telephone_number": "259-993-5804",
            "fax_number": "425-999-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "DANIELLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "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 Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.