Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayumi Gothberg

Individual provider Occupational Therapist · NPI 1710836937

Ayumi Gothberg is an Occupational Therapist in Private Practice in Shoreline, Washington. Qualified in 2022, 4 years ago. Practices with Empowerme Rehabilitation Wa PC, a 52-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2026
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14900 1st Ave NE
Shoreline, WA 98155-6800
Phone: (206) 279-3448
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3200 Ne 45th St, Seattle, WA 98105-5604 — (206) 823-1332
  • 10000 Holman Rd Nw, Seattle, WA 98177-4959 — (262) 202-4588

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT.OT.70052251 (WA)

Record details

NPI number1710836937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address2613 Nw 86th St, Seattle, WA 98117-3838

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Empowerme Rehabilitation Wa Pc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shoreline