KYLE SHANKLE (NPI# 1720554660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720554660 |
| Entity Type | Individual |
| Full Name | KYLE SHANKLE |
| Practice Address |
1601 Avenue D Snohomish WA 98290-1718 |
| Mailing Address |
214 161st St Se Bothell WA 98012-6332 |
| Practice Telephone | 3605637300 |
| Mailing Telephone | 4257373944 |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2018-10-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OC60896013 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1601 AVENUE D |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932118544 | Snohomish School District | Local Education Agency (LEA) | 1601 Avenue D, Snohomish, WA 98290-1718 | 2006-08-05 |
| 1629684238 | Rocio Bauman | Occupational Therapy Assistant | 1601 Avenue D, Snohomish, WA 98290-1718 | 2020-09-18 |
| 1992216238 | Gretchen Jane Hanna | Speech-Language Pathologist | 1601 Avenue D, Snohomish, WA 98290-1718 | 2017-10-13 |
| 1801267141 | Julie Ann Quinn | Registered Nurse | 1601 Avenue D, Snohomish, WA 98290-1718 | 2015-10-13 |
| 1922405265 | Erin Matthews | Occupational Therapist | 1601 Avenue D, Snohomish, WA 98290-1718 | 2014-12-02 |
| 1548664774 | Ricki Anne Rutledge | Speech-Language Pathologist | 1601 Avenue D, Snohomish, WA 98290-1718 | 2014-10-17 |
| 1245634849 | Kerry Day | Licensed Practical Nurse | 1601 Avenue D, Snohomish, WA 98290-1718 | 2014-10-10 |
| 1043613714 | Verlinda Wright-rathke | Registered Nurse | 1601 Avenue D, Snohomish, WA 98290-1718 | 2014-10-08 |
| 1558790758 | Julia Mcintosh | Physical Therapist | 1601 Avenue D, Snohomish, WA 98290-1718 | 2013-11-07 |
| 1124368626 | Jessica Blue | Occupational Therapy Assistant | 1601 Avenue D, Snohomish, WA 98290-1718 | 2013-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962842302 | Elizabeth Ann Marshall | Occupational Therapy Assistant | 321 Glen Ave, Snohomish, WA 98290-2820 | 2013-06-30 |
| 1639429244 | Kathi Marie Jermulowske | Occupational Therapy Assistant | 16409 65th Ave Se, Snohomish, WA 98296 | 2012-09-12 |
| 1629684238 | Rocio Bauman | Occupational Therapy Assistant | 1601 Avenue D, Snohomish, WA 98290-1718 | 2020-09-18 |
| 1124368626 | Jessica Blue | Occupational Therapy Assistant | 1601 Avenue D, Snohomish, WA 98290-1718 | 2013-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942439 | Kathleen A Villyard | Occupational Therapy Assistant | 1102 Ross Ave Nw, Orting, WA 98360-7495 | 2020-08-12 |
| 1386252641 | Aynabeba Negatu Bekele | Occupational Therapy Assistant | 1203 170th Pl Sw, Lynnwood, WA 98037-3327 | 2020-07-22 |
| 1194345819 | Katie Chapman | Occupational Therapy Assistant | 14240 Se 18th St Apt D4, Bellevue, WA 98007-6025 | 2020-04-22 |
| 1700412558 | Trisha Kathleen Tremper Justice | Occupational Therapy Assistant | 400 Gilkey Rd, Burlington, WA 98233-2907 | 2020-03-12 |
| 1962040493 | Patricia Bradley-bunn | Occupational Therapy Assistant | 7311 Coal Creek Pkwy Se Apt K201, Newcastle, WA 98059-3068 | 2019-12-16 |
| 1568009009 | Samantha Kay Hobbs | Occupational Therapy Assistant | 3014 Smithers Ct S, Renton, WA 98055-5034 | 2019-12-03 |
| 1801438411 | Wendy Evelyn Lowe | Occupational Therapy Assistant | 106 Monroe Rd, Port Angeles, WA 98362-8695 | 2019-10-15 |
| 1851944342 | Kendra Danielle Hyde | Occupational Therapy Assistant | 800 Medcalf St, Montesano, WA 98563 | 2019-07-23 |
| 1285286864 | Michele E Cary | Occupational Therapy Assistant | 710 Feildstone Dr Sw, Olympia, WA 98502-9851 | 2019-07-12 |
| 1710544523 | Debra Bilbrey | Occupational Therapy Assistant | 19742 Ash Crest Loop Ne, Poulsbo, WA 98370-7390 | 2019-05-28 |
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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.