Louissa Mae Atillo, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT60861865 Issued in WA

Practice address

520 112TH St SW
Everett, WA 98204-4828

Phone

(425) 490-5518

NPI assigned

Aug 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1861919581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 1ST AVE N APT 241",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094775",
            "telephone_number": "917-626-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044828",
            "telephone_number": "425-490-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATILLO",
        "first_name": "LOUISSA MAE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021761",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00789400",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60861865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamran Assadi
• Shaya Assareh, O.D.
• Cristiana Assumpcao Mengarelli, MS, RDN/LD
• Assured Independence, LLC
• John M Astle, MD, PHD
• Shannon Atkins, BA
• Atkinson & Kaopua, PS
• Mitin Atlabachew, FNP
• Atlas Physical Therapy & Industrial Rehabilitation PLLC
• Atlas Physioworks

• Occupational Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.