Active NPI
Maryam Khaniyan, OT
- Occupational Therapist
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60851310
- Practice address
- 1515 116TH Ave NE Ste 107
Bellevue, WA 98004 - Phone
- (425) 827-5877
- Fax
- (425) 827-5843
- NPI assigned
- Jun 5, 2018
- Last updated
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60851310 | WA | Primary |
Addresses
Primary practice location
1515 116TH Ave NE Ste 107
Bellevue, WA 98004
Mailing address
4220 132ND St SE Ste 101
Mill Creek, WA 98012-8999
Phone (425) 686-7858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12910 Totem Lake Blvd NE
Suite 130
Kirkland, WA 98034-2955
Phone (425) 823-8055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Group, PC | Current | Accepting new patients | |
| Integrated Rehabilitation Group, PC | Occupational Therapist | Current | Accepting new patients |
| Everett Physical Therapy and Sport Performance Center PLLC | Current | Accepting new patients | |
| Everett Physical Therapy and Sport Performance Center PLLC | Current | Accepting new patients | |
| Therapy Management Services, PLLC | Current | Accepting new patients | |
| Therapy Management Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Occupational Therapist | Past | Accepting new patients |
Locations
1300 W Sam Houston Pkwy S
Ste 300
Houston, TX 77042
Phone (713) 297-7052
875 Wesley St
Ste 220
Arlington, WA 98223
Phone (425) 337-3166
11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405
1515 116th Ave NE
Ste 107
Bellevue, WA 98004
Phone (425) 646-7800
915 118th Ave SE
Ste 110
Bellevue, WA 98005
Phone (425) 243-6922
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 513-2155
10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166
2000 Hewitt Ave
Ste 115
Everett, WA 98201
Phone (425) 252-3908
403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835
12910 Totem Lake Blvd NE
Ste 105
Kirkland, WA 98034
Phone (425) 823-8631
12910 Totem Lake Blvd NE
Ste 130
Kirkland, WA 98034
Phone (425) 823-8055
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046
111 Market St NE
Ste 108
Olympia, WA 98501
Phone (360) 754-7085
1707 3rd St SE
Puyallup, WA 98372
Phone (253) 200-2355
3801 5th St SE
Ste 220
Puyallup, WA 98374
Phone (253) 445-4258
22500 NE Marketplace Dr
Ste 204
Redmond, WA 98053
Phone (425) 836-1034
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
1830 Bickford Ave
Ste 209
Snohomish, WA 98290
Phone (360) 568-7774
14229 NE Woodinville Duvall Rd
Ste 25
Woodinville, WA 98072
Phone (425) 658-0110
Organizations & group practices 7
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.
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
- Physical Therapist
- Everett, WA
- NPI 1699713370
-
- Physical Therapy Clinic/Center
- Mill Creek, WA
- NPI 1154369833
-
- Durable Medical Equipment & Medical Supplies
- Bothell, WA
- NPI 1447047477
-
dba IRG Physical & Hand Therapy - Marysville
- Physical Therapy Clinic/Center
- Marysville, WA
- NPI 1215201801
Occupational Therapist
-
dba Tacoma Central Physical Therapy
- Physical Therapist
- Tacoma, WA
- NPI 1932760410
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Burien, WA
- NPI 1780037689
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1740772730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE STE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999",
"telephone_number": "425-686-7858",
"fax_number": "425-341-9034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 116TH AVE NE STE 107",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98004",
"telephone_number": "425-827-5877",
"fax_number": "425-827-5843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANIYAN",
"first_name": "MARYAM",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60851310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.