Douglas Varenas

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

60480509 Issued in WA

Practice address

2901 Falk Rd
Vancouver, WA 98661-6392

Phone

(360) 313-1000

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Leg Up Lymphedema Care PLLC

  • Physical Rehabilitation Occupational Therapist
  • Vancouver, WA
  • NPI 1639841588
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1932509601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 FALK RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616392"
        },
        {
            "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": "VARENAS",
        "first_name": "DOUGLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "60480509",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "329554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Levi John Vantol, PT, DPT
• Donnette K Vantries
• Stephanie Paris Vanvolkinburg
• Patricia Sue Vanwagner
• Vaidheesh Varagantiwar
• Nycole Vargas
• Erin Varner, RDH
• Lisa Vasanth, MD
• Adina G Vasile
• Bertha Alicia Castro Vasquez, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.