Individual provider Active NPI

Andrea Duvil, OTR/L

  • Occupational Therapist
  • Kent, WA
National Provider Identifier
1972123776
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60743092 Issued in WA
Practice address
24121 116TH Ave SE
Kent, WA 98030-5379
Phone
(425) 269-6377
NPI assigned
Apr 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60743092 WA Primary

Addresses

Primary practice location

24121 116TH Ave SE
Kent, WA 98030-5379

Mailing address

510 Stevens Ave SW Apt Q205
Renton, WA 98057-2374
Phone (425) 269-6377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220317002484 WA Practitioner - Occupational Therapist in Private Practice 1658766274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

8011 112TH St CT E
Puyallup, WA 98373-7814
Phone (253) 848-0662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Occupational Therapist CurrentSince Jan 26, 2022 Accepting new patients
Multicare Health System CurrentSince Jan 26, 2022 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

407 E Main St
Auburn, WA 98002
Phone (253) 545-0044

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

8011 112th Street Ct E
Puyallup, WA 98373
Phone (253) 848-0662

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1972123776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 STEVENS AVE SW APT Q205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572374",
            "telephone_number": "425-269-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24121 116TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305379",
            "telephone_number": "425-269-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVIL",
        "first_name": "ANDREA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60743092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.