Active NPI
Megan J Warren, OTR L
- Occupational Therapist
- Bend, OR
National Provider Identifier
1093107070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1385
- Practice address
- 19130 Klippel Rd
Bend, OR 97701-9263 - Phone
- (541) 389-7499
- NPI assigned
- Feb 27, 2015
- Last updated
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1385 | ID | Primary |
| Occupational Therapist | 225X00000X | 1145 | MT |
Addresses
Primary practice location
19130 Klippel Rd
Bend, OR 97701-9263
Mailing address
168 Cattle Dr
Grangeville, ID 83530-5365
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 |
|---|---|---|---|
| 1145 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 1385 | ID | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1093107070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168 CATTLE DR",
"city": "GRANGEVILLE",
"state": "ID",
"postal_code": "835305365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19130 KLIPPEL RD",
"city": "BEND",
"state": "OR",
"postal_code": "977019263",
"telephone_number": "541-389-7499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "MEGAN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ID",
"license": "1385",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "1145",
"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 Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.