Angelina I Orivka, COTA

Primary specialty

Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X

License

OC60239491 Issued in WA

Practice address

18504 Bothell Way NE
Bothell, WA 98011-1927

Phone

(425) 481-1933

Fax

(425) 527-6948

NPI assigned

May 17, 2018

Last updated

May 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1770073496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18504 BOTHELL WAY NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111927",
            "telephone_number": "425-481-1933",
            "fax_number": "425-527-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18504 BOTHELL WAY NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111927",
            "telephone_number": "425-481-1933",
            "fax_number": "425-527-6948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIVKA",
        "first_name": "ANGELINA",
        "middle_name": "I",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "WA",
            "license": "OC60239491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GAB503698",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapy Assistant in Bothell, WA
• Providers in Bothell, 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 May 17, 2018; 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.