Individual provider Active NPI

Lorenzo Diaz Carrillo, OTD, OTR/L

  • Hand Occupational Therapist
  • Lynnwood, WA
National Provider Identifier
1710853106
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT70049130 Issued in WA
Practice address
19221 36TH Ave W Ste 213
Lynnwood, WA 98036-5700
Phone
(425) 368-7943
NPI assigned
Oct 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 OT70049130 WA Primary

Addresses

Primary practice location

19221 36TH Ave W Ste 213
Lynnwood, WA 98036-5700

Mailing address

3280 SW 170TH Ave Apt 1516
Beaverton, OR 97003-8610
Phone (541) 740-6204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004680 WA Practitioner - Occupational Therapist in Private Practice 4981197118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands for Living LLCGroup PAC ID 4284891656, 14 clinicians

Practice addresses (Care Compare)

19221 36TH Ave W
Suite 213
Lynnwood, WA 98036-5700
Phone (425) 368-7943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT70049130WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands for Living LLC Hand CurrentSince Dec 8, 2025 Accepting new patients

Locations

19221 36th Ave W
Ste 213
Lynnwood, WA 98036
Phone (425) 368-7943

16150 NE 85th St
Ste 116
Redmond, WA 98052
Phone (425) 881-1921

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1710853106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 SW 170TH AVE APT 1516",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970038610",
            "telephone_number": "541-740-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 36TH AVE W STE 213",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365700",
            "telephone_number": "425-368-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CARRILLO",
        "first_name": "LORENZO",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT70049130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.