Healthcare Provider Details

I. General information

NPI: 1831009505
Provider Name (Legal Business Name): ZAKIAH JOSEPH BASSETT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 CONNECTICUT AVE NW # 100
WASHINGTON DC
20008-4530
US

IV. Provider business mailing address

5661 3RD ST NE APT 201
WASHINGTON DC
20011-2542
US

V. Phone/Fax

Practice location:
  • Phone: 202-525-1641
  • Fax:
Mailing address:
  • Phone: 803-552-6982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT210002608
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: