Supriya A Udhoji

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT60399399 Issued in WA

Practice address

520 112TH St SW
Everett, WA 98204-4828

Phone

(732) 504-4242

NPI assigned

Jun 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  NPD (past)

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1982998589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11838 NE 105TH LN",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335040",
            "telephone_number": "732-504-4242",
            "fax_number": "973-736-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 112TH ST SW",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982044828",
            "telephone_number": "732-504-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDHOJI",
        "first_name": "SUPRIYA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "OT60399399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• U Thrive Better OT
• U.S. Healthworks Medical Group of Washington, PS
• U.S. Healthworks Medical Group of Washington, PS
• Maria E Uchytil
• Julie Renee Udd, BS, PEER SPECIALIST
• Gabriel Shuntoku Uesonoda, RN
• Shelby Uffelman, PHARMD
• Paschal Chinedu Ukwu
• Umut Yilmaz Ulge, MD/PHD
• Anthony Ulrich, MSN,RN-BC,PMHN,MHP

• Gerontology Occupational Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Gerontology Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.