Active NPI
James Theodore Garrard, COTA/L
- Occupational Therapy Assistant
- Vancouver, WA
National Provider Identifier
1821745571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 61271128
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61271128 | WA | MD | Occupational 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.