Individual provider Active NPI

Andrea Jaden Prasil, OTR/L

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1093552796
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
510731 Issued in OR
Practice address
8285 SW Nimbus Ave Ste 174
Beaverton, OR 97008-6447
Phone
(503) 579-7327
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 510731 OR Primary

Addresses

Primary practice location

8285 SW Nimbus Ave Ste 174
Beaverton, OR 97008-6447

Mailing address

8285 SW Nimbus Ave Ste 174
Beaverton, OR 97008-6447
Phone (503) 579-7327

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

LicenseStateTypeSpecialty
510731ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Little Peas Speech Therapy LLC PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1093552796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 174",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086447",
            "telephone_number": "503-579-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8285 SW NIMBUS AVE STE 174",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086447",
            "telephone_number": "503-579-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASIL",
        "first_name": "ANDREA",
        "middle_name": "JADEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "510731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.