Unknown Individual – Pediatric Occupational Therapist, NPI 1619035458

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Pediatric Occupational Therapist. They hold a License No. OT00001812 (WA). The NPI Number for Unknown Individual is 1619035458

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619035458
Phone
Not provided
Address
208 W 36TH ST
Deactivation Date
29 September 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 208, West 36th Street, Lincoln, Vancouver, Clark County, Washington, 98660, United States

    VANCOUVER, WA 986601936

    Phone:

    Type: Mailing

  • 106, East 15th Street, Arnada, Vancouver, Clark County, Washington, 98663, United States

    VANCOUVER, WA 986633401

    Phone: (360) 750-5850

    Fax: (360) 750-7244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98660)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1619035458.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pediatric Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Vancouver, Washington as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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