Individual provider Active NPI

Payton Julia Swales

  • Occupational Therapy Assistant
  • Maple Valley, WA
National Provider Identifier
1710719992
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC60646067 Issued in WA
Practice address
20603 Maxwell Rd SE
Maple Valley, WA 98038-8966
Phone
(253) 315-5034
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OC60646067 WA Primary

Addresses

Primary practice location

20603 Maxwell Rd SE
Maple Valley, WA 98038-8966

Mailing address

20603 Maxwell Rd SE
Maple Valley, WA 98038-8966
Phone (253) 315-5034

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

State licenses

LicenseStateTypeSpecialty
OC60646067WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1710719992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20603 MAXWELL RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388966",
            "telephone_number": "253-315-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20603 MAXWELL RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388966",
            "telephone_number": "253-315-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALES",
        "first_name": "PAYTON",
        "middle_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60646067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.