Active NPI
Adelyn Sayers, COTA
- Pediatric Occupational Therapist
- Spokane, WA
National Provider Identifier
1942805627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OC61089615
- Practice address
- 9425 N Nevada St Ste 211
Spokane, WA 99218-5014 - Phone
- (509) 270-0065
- Fax
- (509) 319-2520
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OC61089615 | WA | Primary |
Addresses
Primary practice location
9425 N Nevada St Ste 211
Spokane, WA 99218-5014
Mailing address
1423 W Ardmore Dr
Spokane, WA 99218-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OC61089615 | Other | WA | COTA |
Other names 1
- Adelyn Grace Shisler
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 |
|---|---|---|---|
| OC61089615 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1942805627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1423 W ARDMORE DR",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992182401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9425 N NEVADA ST STE 211",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992185014",
"telephone_number": "509-270-0065",
"fax_number": "509-319-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAYERS",
"first_name": "ADELYN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OC61089615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "OC61089615",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADELYN",
"last_name": "SHISLER",
"middle_name": "GRACE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.