Shanalee Radach

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC 60186883 Issued in WA

Practice address

2929 5TH Ave NE
Puyallup, WA 98372-6782

Phone

(253) 447-8216

Fax

(253) 447-8789

NPI assigned

Jan 26, 2011

Last updated

Apr 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shana Radach Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1942506795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12703 117TH AVE E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983744070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 5TH AVE NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726782",
            "telephone_number": "253-447-8216",
            "fax_number": "253-447-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADACH",
        "first_name": "SHANALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC 60186883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "RADACH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Annalyse R Quintero, M.D.
• Anigonia Quitugua
• Jessica Leigh Rabitoy
• Ashley Raburn
• Alisse Raby, MS CCC-SLP
• Keandra E Radchenko
• Alyson Jo Radliff, B.A.
• Robert R Radz, DDS
• Brittney Nichole Rae, PT
• Nicholas Ragland, DO

• Occupational Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.