Individual provider Active NPI

Tania Kneuer, OTL ASDCS

  • Mental Health Occupational Therapist
  • Bend, OR
National Provider Identifier
1013064633
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
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

Updated by the provider on Jan 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1039951ORMDHuman Factors Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Wellness Therapy CurrentSince Feb 4, 2024 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.

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.

Verify at the official NPI Registry.