NPIMap

Organization Active NPI

Creative Therapy Connections, LLC

  • Rehabilitation Clinic/Center
  • Portland, OR
National Provider Identifier
1174857577
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CREATIVE THERAPY CONNECTIONS, LLC
Practice address
5232 N Interstate Avenue
Portland, OR 97217
Phone
(503) 575-9402
NPI assigned
Oct 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Lisa M Porter, MOT, OTR/LNPI 1477512531
Title
Occupational Therapist
Phone
(503) 449-0788

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
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

5232 N Interstate Avenue
Portland, OR 97217

Mailing address

6205 N Atlantic Ave
Portland, OR 97217-4023
Phone (503) 449-0788

National Provider Directory

National Provider Directory

Locations

5232 N Interstate Ave
Portland, OR 97217
Phone (503) 449-0788

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1174857577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 N ATLANTIC AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174023",
            "telephone_number": "503-449-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5232 N INTERSTATE AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97217",
            "telephone_number": "503-575-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE THERAPY CONNECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "503-449-0788",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "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 Oct 1, 2009; 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.