Serena Badgley, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Tualatin, OR
NPI 1033707989 · NPPES record last updated May 4, 2022
Key facts
- NPI
- 1033707989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 461750 (OR)
- Practice address
- 19365 SW 65TH Ave Ste 200
Tualatin, OR 97062-9196 - Phone
- (503) 692-5210
- Fax
- (503) 692-8821
- NPI assigned
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hand Center of Oregon Inc
Practice addresses (Care Compare)
19365 SW 65TH Ave
Suite 200
Tualatin, OR 97062-9196
Phone (503) 692-5210
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211227001174 | OR | Practitioner - Occupational Therapist in Private Practice | 7719378868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 461750 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand Center of Oregon Inc | Occupational Therapist | Current |
Accepting new patients |
Locations
19365 SW 65th Ave
Ste 200
Tualatin, OR 97062
Phone (503) 692-5210
Interoperability endpoints
- https://api.platform.athenahealth.com/9008/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 461750 | OR | Yes |
Addresses
Primary practice location
19365 SW 65TH Ave Ste 200
Tualatin, OR 97062-9196
Mailing address
25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone (509) 710-4875
Other providers in Tualatin, OR
- Autism Health Partners (NW) Inc
- Autonomic Innovations, LLC
- Wassim Ayoub
- Baarspul Physical Therapy and Sports Medicine, LLC
- Dilip Sankar Babu
- Sam Seoho Bae
- Christine A Baird
- Leah Baird
- Kari A. Baker
- Margaret Elizabeth Baker
All providers in Tualatin, OR · Occupational Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.