Active NPI
Jennifer Sambrook Pitonyak, PHD, OTR/L, SCFES, C
- Mental Health Occupational Therapist
- Yakima, WA
National Provider Identifier
1780874958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- License
- 60462832
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 60462832 | WA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Triumph Treatment Services
- Mental Health Counselor
- Yakima, WA
- NPI 1962270272
-
- Case Management Agency
- Eagleville, PA
- NPI 1164734455
-
- Speech-Language Pathologist
- Eagleville, PA
- NPI 1306975826
Pediatrics
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
- Pinnacle Health Care, PLLC
- Blanca J Pinon, RPH
- Emily Baird Piper, DDS
- Kylie Cherie Piper, DNP
- Wendy Anne Piper, PMHNP-BC
- Amber Lee Pittmon, RN
- Planet Chiropractic Inc (Yakima Valley Spine)
- Planned Parenthood of Greater Washington & North Idaho (Ppgwni)
- Planned Parenthood of Greater Washington & North Idaho (PPGWNI Yakima Health Center)
- Malinda Marie Pleasant, DPT
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.