Individual provider Active NPI

James Theodore Garrard, COTA/L

  • Occupational Therapy Assistant
  • Vancouver, WA
National Provider Identifier
1821745571
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
61271128 Issued in WA
Practice address
2901 Falk Rd
Vancouver, WA 98661-6392
Phone
(360) 313-1000
NPI assigned
Mar 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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 61271128 WA Primary

Addresses

Primary practice location

2901 Falk Rd
Vancouver, WA 98661-6392

Mailing address

2130 SW Camelot CT Apt 69
Portland, OR 97225-3765
Phone (971) 284-6321

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
61271128WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1821745571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 SW CAMELOT CT APT 69",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253765",
            "telephone_number": "971-284-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 FALK RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616392",
            "telephone_number": "360-313-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRARD",
        "first_name": "JAMES",
        "middle_name": "THEODORE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "61271128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.