Jillian Nicole Sivinski, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 00004228 Issued in WA

Practice address

6511 NE 18TH St
Vancouver, WA 98661-6869

Phone

(360) 759-4917

Fax

(360) 759-4921

NPI assigned

Jun 9, 2010

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sunbreak Therapy Services, Inc

  • Speech-Language Pathologist
  • Canby, OR
  • NPI 1497150247

  Occupational Therapist

  Medicare reassignment NPD
• Arc of Clark County

  • Developmentally Disabled Services Day Training Agency
  • Vancouver, WA
  • NPI 1376872929
  NPD (past)

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

{
    "created_epoch": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1619297967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2277",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986682277",
            "telephone_number": "360-759-4917",
            "fax_number": "360-759-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 NE 18TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616869",
            "telephone_number": "360-759-4917",
            "fax_number": "360-759-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVINSKI",
        "first_name": "JILLIAN",
        "middle_name": "NICOLE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT 00004228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tannya Siroshton, RN
• Renee Sisson, BS
• Jennifer Sites
• Vivian Rhodora Marie Darlucio Situ, RN
• Melissa Molly Sivaram, MS
• Sara F. Siwanowicz, CRNA
• Kathleen Sjostrom
• Brenda Lynn Sjothun, LMT
• Nancy K Skanchy, MSW,LCSW
• Brandie Marie Skariah, PT

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.