Luke Colussi

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

112 Andover Park E
Tukwila, WA 98188-2915

Phone

(206) 420-3967

NPI assigned

Jul 24, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1669152534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 NE 4TH ST APT D110",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980564152",
            "telephone_number": "541-406-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 ANDOVER PARK E",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882915",
            "telephone_number": "206-420-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUSSI",
        "first_name": "LUKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Cole, MA
• Hailey Coleman
• Thomas P Colleran
• Anastasia Collins, DO
• Christopher Stephen Collins, LMP
• Compass North Counseling and Training Services PLLC
• Compassus of Texas Physicians Group PLLC
• Concerto Medical Group of Washington, P.C.
• Concerto Medical Group of Washington, PC
• Phelan Martin Conheady

• Occupational Therapy Assistant in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.