MS. MUKTI V GODBOLE (NPI# 1306942156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306942156 |
| Entity Type | Individual |
| Full Name | MS. MUKTI V GODBOLE |
| Credential | OTR/L |
| Practice Address |
2525 Ne Park Dr Suite C Issaquah WA 98029-2642 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 4256867405 |
| Practice Fax Number | 4253419041 |
| Mailing Telephone | 4253168046 |
| Mailing Fax Number | 4253389637 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT00003106 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 0356877 | 01 |
| WA | L & I | 0356816 | 01 |
| Street Address |
2525 NE PARK DR SUITE C |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538603808 | Highlands Kids Dentistry and Orthodontics | Dentist | 2525 Ne Park Dr, Ste#b, Issaquah, WA 98029-2642 | 2016-12-06 |
| 1235522723 | Elizabeth Kern | Occupational Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-03-09 |
| 1053709501 | Rachel Hammack | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-01-07 |
| 1528326204 | Integrated Rehab Group Limited Partnership | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2012-05-01 |
| 1255636528 | Integrated Rehabilitation Group PC | Clinic/Center | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2011-01-18 |
| 1821324286 | Jennifer Romanowicz | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-10-20 |
| 1619201928 | Erick Kameyoshi Harada | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588117279 | Christine Elizabeth Coffaro | Occupational Therapist | 25760 Se 40th St, Issaquah, WA 98029-7760 | 2016-07-28 |
| 1144680166 | Kayley Richards | Occupational Therapist | 601 12th Ave Nw, Unit B4, Issaquah, WA 98027-2664 | 2016-03-03 |
| 1134457260 | Tanyia Lynn Schier | Occupational Therapist | 4125 239th Pl Se, Issaquah, WA 98029-7591 | 2009-12-01 |
| 1376723809 | Sunayna Thakur | Occupational Therapist | 4325 252nd Pl Se, Issaquah, CA 98029 | 2007-11-13 |
| 1730369042 | Julie Ann Leigh | Occupational Therapist | 98 Ne Gilman Blvd Ste 206, Issaquah, WA 98027-2515 | 2007-11-05 |
| 1649804790 | Jacqueline Wong | Occupational Therapist | 710 Nw Juniper St, Issaquah, WA 98027-2717 | 2020-02-27 |
| 1831723121 | George Hotchkin | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027-2717 | 2020-02-26 |
| 1316571664 | Fang-yin Liu | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027-2717 | 2020-02-25 |
| 1477019883 | Jennifer Kirkevold | Occupational Therapist | 5410 194th Ave Se, Issaquah, WA 98027-8626 | 2019-02-11 |
| 1750853669 | Regina Marie Curfman Caruso | Occupational Therapist | 510 8th Ave Ne Ste 340, Issaquah, WA 98029-5449 | 2018-12-18 |
| Find all providers in ISSAQUAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.