Healthcare Provider Details

I. General information

NPI: 1033013230
Provider Name (Legal Business Name): STRATA PEDIATRIC THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 167TH PL NE
BELLEVUE WA
98008-3743
US

IV. Provider business mailing address

1012 167TH PL NE
BELLEVUE WA
98008-3743
US

V. Phone/Fax

Practice location:
  • Phone: 310-933-2499
  • Fax:
Mailing address:
  • Phone: 310-933-2499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH JAE-YOUNG CHO
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 310-933-2499