NPIMap

Organization Active NPI

Play to Grow Developmental Therapy Services

  • Pediatric Occupational Therapist
  • Tualatin, OR
National Provider Identifier
1053754911
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
606012 Issued in OR
Legal business name
PLAY TO GROW DEVELOPMENTAL THERAPY SERVICES
Practice address
18959 SW 84TH Ave
Tualatin, OR 97062-9477
Phone
(500) 356-3543
Fax
(503) 563-5281
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Deborah Lee Ferguson, OTR
Title
Occupational Therapist Director
Phone
(503) 563-5439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 606012 OR Primary

Addresses

Primary practice location

18959 SW 84TH Ave
Tualatin, OR 97062-9477

Mailing address

18959 SW 84TH Ave
Tualatin, OR 97062-9477
Phone (500) 356-3543

National Provider Directory

National Provider Directory

Locations

18959 SW 84th Ave
Tualatin, OR 97062
Phone (500) 356-3543

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1053754911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18959 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "500-356-3543",
            "fax_number": "503-563-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18959 SW 84TH AVE",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629477",
            "telephone_number": "500-356-3543",
            "fax_number": "503-563-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY TO GROW DEVELOPMENTAL THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST DIRECTOR",
        "authorized_official_telephone_number": "503-563-5439",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "606012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.