Yumiko Chongsiriwatana

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-4396 Issued in OH

Practice address

6660 Doubletree Ave
Columbus, OH 43229-1128

Phone

(614) 844-5433

Fax

(614) 987-8643

NPI assigned

Sep 16, 2022

Last updated

Mar 22, 2024By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Learning Spectrum, LLC

  • Behavior Analyst
  • Columbus, OH
  • NPI 1588962914

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1659093615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "614-844-5433",
            "fax_number": "614-987-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6660 DOUBLETREE AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291128",
            "telephone_number": "614-844-5433",
            "fax_number": "614-987-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONGSIRIWATANA",
        "first_name": "YUMIKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-4396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT-4396",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapy@thelearningspectrum.com",
            "affiliation": "N",
            "endpointDescription": "department email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6660 Doubletree Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432291128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Choices for Victims of Domestic Violence
• Liza Krassimirova Cholin, M.D.
• Jennifer Chomin
• Lori S. Chong, RD, LD
• Moon Chong, CNP
• Areeporn Chonhenchob, M.D.
• Douglas J Chonko, DO
• Todd Ernest Chontos, O.D.
• Jahnavi Chopra
• Nagesh Chopra, M.D.

• Occupational Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.