Individual provider Active NPI

Yevgeniya Arkhipchuk, PTA

  • Physical Therapy Assistant
  • Lake Stevens, WA
National Provider Identifier
1982301909
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
161037086 Issued in WA
Practice address
12806 20TH St NE
Lake Stevens, WA 98258-9243
Phone
(425) 737-3666
NPI assigned
Feb 9, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 161037086 WA Primary

Addresses

Primary practice location

12806 20TH St NE
Lake Stevens, WA 98258-9243

Mailing address

12309 22ND St NE
Lake Stevens, WA 98258-9500
Phone (425) 335-1500

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

LicenseStateTypeSpecialty
161037086WAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Stevens School District PastSince May 28, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1982301909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12309 22ND ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589500",
            "telephone_number": "425-335-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12806 20TH ST NE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982589243",
            "telephone_number": "425-737-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARKHIPCHUK",
        "first_name": "YEVGENIYA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "161037086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.