AYUMI GOTHBERG
NPI 1710836937
Occupational Therapist in Shoreline, WA
About Ayumi Gothberg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AYUMI GOTHBERG (NPI 1710836937) is an individual occupational therapist in Shoreline, Washington, licensed in Washington (OT.OT.70052251) and active in the NPI registry since January 2026. She maintains 2 additional practice locations and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ayumi Gothberg is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ayumi Gothberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Issaquah, WA 98027
- Reassigned Medicare billing, Washington enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ayumi Gothberg's NPI number?
The NPI number for Ayumi Gothberg is 1710836937. It was assigned to this individual provider in the NPPES registry on January 22, 2026.
Where is Ayumi Gothberg located?
Ayumi Gothberg practices at 14900 1st Ave NE, Shoreline, WA 98155. The listed phone number is (206) 279-3448.
What is Ayumi Gothberg's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Ayumi Gothberg enrolled in Medicare?
Yes. Ayumi Gothberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ayumi Gothberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ayumi Gothberg reassigns Medicare benefits to Empowerme Rehabilitation Wa, PC (Issaquah, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ayumi Gothberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ayumi Gothberg accept?
Health plans from PacificSource Health Plans list Ayumi Gothberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ayumi Gothberg was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.