Active NPI
Tania Kneuer, OTL ASDCS
- Mental Health Occupational Therapist
- Bend, OR
National Provider Identifier
1013064633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 63368 Saddleback Dr
Bend, OR 97703-8566 - Phone
- (541) 390-1493
- Fax
- (541) 322-7565
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | 1039951 | OR | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 1039951 | OR | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 1039951 | OR | |
| Pediatric Occupational Therapist | 225XP0200X | 1039951 | OR | |
| Mental Health Occupational Therapist | 225XM0800X | Primary | ||
| Mental Health Counselor | 101YM0800X | 1039951 | OR | |
| Occupational Therapist | 225X00000X | 1039951 | OR | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 1039951 | OR | |
| Gerontology Occupational Therapist | 225XG0600X | 1039951 | OR | |
| Human Factors Occupational Therapist | 225XH1300X | 1039951 | OR |
Addresses
Primary practice location
63368 Saddleback Dr
Bend, OR 97703-8566
Mailing address
63368 Saddleback Dr
Bend, OR 97703-8566
Phone (541) 390-1493
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039951 | OR | MD | Human Factors Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Wellness Therapy | Current | Accepting new patients | |
| Alpine Physical Therapy and Wellness Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bend, OR
- NPI 1235991878
-
- Physical Therapist
- Bend, OR
- NPI 1003058363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704499200000",
"number": "1013064633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63368 SADDLEBACK DR",
"city": "BEND",
"state": "OR",
"postal_code": "977038566",
"telephone_number": "541-390-1493",
"fax_number": "541-322-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63368 SADDLEBACK DR",
"city": "BEND",
"state": "OR",
"postal_code": "977038566",
"telephone_number": "541-390-1493",
"fax_number": "541-322-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEUER",
"first_name": "TANIA",
"credential": "OTL ASDCS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2024-01-06",
"certification_date": "2024-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "OR",
"license": "1039951",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "OR",
"license": "1039951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.