Active NPI
John Michael Shea
- Occupational Therapist
- Yakima, WA
National Provider Identifier
1922306711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 00002617
- Practice address
- 3801 Summitview Ave
Yakima, WA 98902-2794 - Phone
- (509) 965-5240
- Fax
- (877) 282-1880
- NPI assigned
- Mar 3, 2011
- Last updated
- Mar 3, 2011
- 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 Therapist | 225X00000X | 00002617 | WA | Primary |
Addresses
Primary practice location
3801 Summitview Ave
Yakima, WA 98902-2794
Mailing address
3801 Summitview Ave
Yakima, WA 98902-2794
Phone (509) 965-5240
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00002617 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1922306711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022794",
"telephone_number": "509-965-5240",
"fax_number": "877-282-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SUMMITVIEW AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989022794",
"telephone_number": "509-965-5240",
"fax_number": "877-282-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-03",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "00002617",
"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 Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.