Katie Rexroat, BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44236 Issued in OR

Practice address

12155 SW Tooze Rd
Sherwood, OR 97140-8441

Phone

(503) 570-0147

NPI assigned

Mar 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Victory Academy

  • Community/Behavioral Health Agency
  • Sherwood, OR
  • NPI 1518345842
  NPD

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1154862498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15982 SW ROTH DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970782101",
            "telephone_number": "909-997-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 SW TOOZE RD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971408441",
            "telephone_number": "503-570-0147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 SW Jefferson St Ste B200",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972017727",
            "country_code": "US",
            "telephone_number": "503-867-6176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REXROAT",
        "first_name": "KATIE",
        "credential": "BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OR",
            "license": "1-20-44236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence Health & Services-Oregon Newberg Medical Center
• Jennifer Pumpelly, MASSAGE THERAPIST
• Thomas Louis Ratliff, DDS
• Renal Treatment Centers West Inc
• Christina Rendel
• Jade Rey, MA, BCBA, LBA
• RGJ Enterprises LLC
• Lynda Marie Rhoads, CCC-SLP
• Deborah J Rice, N.D.
• Tia Louise Rich, CPM, LMT, LC, CIEM

• Behavior Analyst in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Behavior Analyst in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.