Active NPI
Arundhati Mahapatra, BOT,DROT
- Occupational Therapist
- Portland, OR
National Provider Identifier
1043418585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1043570
- Practice address
- 5701 SW Multnomah Blvd
Portland, OR 97219-3195 - Phone
- (503) 244-1107
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1043570 | OR | Primary |
Addresses
Primary practice location
5701 SW Multnomah Blvd
Portland, OR 97219-3195
Mailing address
13180 NW Hartford St
Portland, OR 97229-3759
Phone (503) 629-9868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275094 | Medicaid | OR | |
| 1043570 | Other | OR | OT STATE LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043570 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1043418585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13180 NW HARTFORD ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972293759",
"telephone_number": "503-629-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SW MULTNOMAH BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193195",
"telephone_number": "503-244-1107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAPATRA",
"first_name": "ARUNDHATI",
"name_prefix": "Mrs.",
"credential": "BOT,DROT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1043570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "275094",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT STATE LICENSE",
"identifier": "1043570",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.