Individual provider Active NPI

Nicole Nohner, MOTR/L

  • Occupational Therapist
  • Portland, OR
National Provider Identifier
1114335619
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
292591 Issued in OR
Practice address
9125 SW Boones Ferry Rd
Portland, OR 97219-4828
Phone
(971) 336-9272
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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 292591 OR Primary

Addresses

Primary practice location

9125 SW Boones Ferry Rd
Portland, OR 97219-4828

Mailing address

9125 SW Boones Ferry Rd
Portland, OR 97219-4828
Phone (971) 336-9272

Other names 1

  • Nicole Kane Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200413001701 OR Practitioner - Occupational Therapist in Private Practice 7517397607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand N Hand Home Rehab LLCGroup PAC ID 6709216898, 5 clinicians

Practice addresses (Care Compare)

5520 S Macadam Ave
Suite 150
Portland, OR 97239-3782
Phone (971) 208-5881

9125 SW Boones Ferry Rd
Portland, OR 97219-4828
Phone (971) 208-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292591ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand N Hand Home Rehab, LLC Occupational Therapist CurrentSince Feb 7, 2020 Accepting new patients
Bodywise Physical Therapy Inc Past Accepting new patients

Locations

402 NW 12th Ave
Portland, OR 97209
Phone (503) 701-4390

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1114335619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 SW BOONES FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194828",
            "telephone_number": "971-336-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 SW BOONES FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194828",
            "telephone_number": "971-336-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOHNER",
        "first_name": "NICOLE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "292591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.