Active NPI
Bryan Paul Harter, OT
- Occupational Therapist
- Salem, OR
National Provider Identifier
1063672392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1066851
- Practice address
- 820 Cottage St NE
Salem, OR 97301-2426 - Phone
- (503) 399-1135
- Fax
- (503) 399-7273
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- 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 | 1066851 | OR | Primary |
Addresses
Primary practice location
820 Cottage St NE
Salem, OR 97301-2426
Mailing address
820 Cottage St NE
Salem, OR 97301-2426
Phone (503) 399-1135
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 |
|---|---|---|---|
| 1066851 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revolution Sport & Spine Therapy LLC | Current | Accepting new patients | |
| Borealis Chiropractic Inc | Past | Accepting new patients |
Locations
35249 Kenai Spur Hwy
Ste C
Soldotna, AK 99669
Phone (907) 420-0836
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.
-
- Orthopedic Physical Therapist
- Soldotna, AK
- NPI 1598215170
-
- Chiropractor
- Soldotna, AK
- NPI 1558800607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1063672392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 COTTAGE ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012426",
"telephone_number": "503-399-1135",
"fax_number": "503-399-7273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 COTTAGE ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973012426",
"telephone_number": "503-399-1135",
"fax_number": "503-399-7273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER",
"first_name": "BRYAN",
"middle_name": "PAUL",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1066851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.