Organization Active NPI

Play to Learn Occcupational Therapy

  • Developmental Disabilities Clinic/Center
  • Portland, OR
National Provider Identifier
1114788106
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PLAY TO LEARN OCCCUPATIONAL THERAPY
Practice address
1620 SE Claybourne St Ste A106
Portland, OR 97202-5662
Phone
(503) 752-0711
Fax
(971) 888-5266
NPI assigned
Jan 17, 2024
Last updated
Jan 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Mrs. Rebecca Peterson, OTR/LNPI 1699872473
Title
Owner/Therapist
Phone
(206) 660-0471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1620 SE Claybourne St Ste A106
Portland, OR 97202-5662

Mailing address

4314 SE 42ND Ave
Portland, OR 97206-4176
Phone (206) 660-0471

National Provider Directory

National Provider Directory

Locations

1620 SE Claybourne St
Ste A106
Portland, OR 97202
Phone (503) 752-0711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1114788106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 SE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064176",
            "telephone_number": "206-660-0471",
            "fax_number": "971-888-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SE CLAYBOURNE ST STE A106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972025662",
            "telephone_number": "503-752-0711",
            "fax_number": "971-888-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY TO LEARN OCCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "206-660-0471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 16, 2025; 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.