Individual provider Active NPI

Lisa R Bohnas, OC60861758

  • Occupational Therapy Assistant
  • Sedro Woolley, WA
National Provider Identifier
1770076341
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OC60861758 Issued in WA
Practice address
801 Trail Rd
Sedro Woolley, WA 98284-9387
Phone
(360) 855-3500
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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 OC60861758 WA Primary

Addresses

Primary practice location

801 Trail Rd
Sedro Woolley, WA 98284-9387

Mailing address

469 Rainbow Dr
Sedro Woolley, WA 98284-9514
Phone (603) 264-3336

Other practice location 1

801 Trail Rd
Sedro Woolley, WA 98284-9387
Phone (360) 855-3500

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
OC60861758WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1770076341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 RAINBOW DR",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849514",
            "telephone_number": "603-264-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 TRAIL RD",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849387",
            "telephone_number": "360-855-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Trail Rd",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982849387",
            "country_code": "US",
            "telephone_number": "360-855-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHNAS",
        "first_name": "LISA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "OC60861758",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60861758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.