Josephine Mary Ryan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

120412 Issued in AK

Practice address

1230 Ocean Dr Ste 2
Homer, AK 99603-7911

Phone

(907) 756-3715

Fax

(800) 221-8541

NPI assigned

Jul 10, 2018

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 identifiers 1

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1972099158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 W HILL RD",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996038302",
            "telephone_number": "907-299-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 OCEAN DR STE 2",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996037911",
            "telephone_number": "907-756-3715",
            "fax_number": "800-221-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JOSEPHINE",
        "middle_name": "MARY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AK",
            "license": "120412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALASKA STATE PHYSICAL AND OCCUPATIONAL THERAPY COTA LISENCE",
            "identifier": "120412",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Lynn Roedl, RDH
• Donna Jean Rollins, PMHNP-BC
• Tony O Romeril, D.C.
• Amber Rounds
• Christina Russ
• Michael Ryckman
• Irene Sarah Saxton, LCSW
• James Paul Sayer, MD
• Juxia Scarpitta
• Tim W Scheffel, DO

• Occupational Therapy Assistant in Homer, AK
• Providers in Homer, AK by specialty
• Occupational Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.