Individual provider Active NPI

Rosie Endow, OTR/L

  • Occupational Therapist
  • Gresham, OR
National Provider Identifier
1154027993
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
484282 Issued in OR
Practice address
24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Phone
(503) 674-7860
Fax
(503) 674-7642
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 484282 OR Primary

Addresses

Primary practice location

24076 SE Stark St Ste 200
Gresham, OR 97030-3376

Mailing address

522 Longhollow Way
Coalinga, CA 93210-9633
Phone (310) 855-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230224002134 OR Practitioner - Occupational Therapist in Private Practice 6709259583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportscare Physical Therapy @ Cornell, LLCGroup PAC ID 7517115579, 36 clinicians

Practice addresses (Care Compare)

10121 SE Sunnyside Rd
Suite 208
Clackamas, OR 97015-5750
Phone (503) 794-0103

16100 NW Cornell Rd
Suite 110
Beaverton, OR 97006-7369
Phone (971) 245-6663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sportscare Physical Therapy @ Cornell, LLC CurrentSince Apr 1, 2024 Accepting new patients
Armworks Hand Therapy, LLC CurrentSince Feb 20, 2023 Accepting new patients
Armworks Hand Therapy, LLC Occupational Therapist CurrentSince Feb 20, 2023 Accepting new patients
Sportscare Physical Therapy @ Cornell, LLC Occupational Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

15390 NW Cornell Rd
Ste 230
Beaverton, OR 97006
Phone (971) 245-0103

16100 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (971) 245-6663

10121 SE Sunnyside Rd
Ste 208
Clackamas, OR 97015
Phone (503) 427-2956

24076 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-1666

10748 NE Halsey St
Portland, OR 97220
Phone (503) 257-9881

3871 Fairview Industrial Dr SE
Ste 120
Salem, OR 97302
Phone (503) 990-6393

Organizations & group practices 4

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1154027993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 LONGHOLLOW WAY",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932109633",
            "telephone_number": "310-855-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST STE 200",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303376",
            "telephone_number": "503-674-7860",
            "fax_number": "503-674-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDOW",
        "first_name": "ROSIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "484282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.