Active NPI
Jason Truong
- Occupational Therapist
- Graham, WA
National Provider Identifier
1922484716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60562637
- Practice address
- 10412 264TH St E
Graham, WA 98338-8706 - Phone
- (253) 683-8600
- NPI assigned
- Aug 4, 2015
- 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 | OT60562637 | WA | Primary |
Addresses
Primary practice location
10412 264TH St E
Graham, WA 98338-8706
Mailing address
5610 S 235TH St
Apt. Ff202
Kent, WA 98032-3761
Phone (503) 568-4244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341776 | Other | NBCOT OTR CERTIFICATION |
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 |
|---|---|---|---|
| OT60562637 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1922484716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 S 235TH ST",
"address_2": "APT. FF202",
"city": "KENT",
"state": "WA",
"postal_code": "980323761",
"telephone_number": "503-568-4244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10412 264TH ST E",
"city": "GRAHAM",
"state": "WA",
"postal_code": "983388706",
"telephone_number": "253-683-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUONG",
"first_name": "JASON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60562637",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT OTR CERTIFICATION",
"identifier": "341776",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Graham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.