Individual provider Active NPI

Jennifer Sambrook Pitonyak, PHD, OTR/L, SCFES, C

  • Mental Health Occupational Therapist
  • Yakima, WA
National Provider Identifier
1780874958
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
60462832 Issued in WA
Practice address
120 S 3Rd St
Yakima, WA 98901-2875
Phone
(610) 724-2576
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 60462832 WA
Pediatric Occupational Therapist 225XP0200X 60462832 WA
Mental Health Occupational Therapist 225XM0800X 60462832 WA Primary

Addresses

Primary practice location

120 S 3Rd St
Yakima, WA 98901-2875

Mailing address

2430 223Rd PL NE
Sammamish, WA 98074-4013
Phone (610) 724-2576

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
60462832WAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Council on Alcoholism Mental Health Past Accepting new patients
Arc Advocacy Services Past Accepting new patients
The Arc Alliance Children Services Pediatrics Past Accepting new patients

Organizations & group practices 3

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1780874958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 223RD PL NE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980744013",
            "telephone_number": "610-724-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S 3RD ST",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989012875",
            "telephone_number": "610-724-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITONYAK",
        "first_name": "JENNIFER",
        "middle_name": "SAMBROOK",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR/L, SCFES, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "WA",
            "license": "60462832",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "60462832",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "WA",
            "license": "60462832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.