Johanka Stavenik, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

Practice address

5701 SW Multnomah Blvd
Portland, OR 97219-3195

Phone

(503) 244-1107

NPI assigned

Jul 7, 2014

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

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1174939524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "971-224-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193195",
            "telephone_number": "503-244-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVENIK",
        "first_name": "JOHANKA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Gilfoil Stauffer, LMT
• Patrick Stauffer, MD
• Ryan D Stauffer, PA-C
• Sally Alice Stauffer, OTR/L
• Clayton Donald Stave
• Kori Stavig, LMT
• Mary F Stavropoulos, D.D.S.
• Melissa Stawarz, RD, LD
• Kaylan Taylor Stayton, PT, DPT
• Stayunbroken, LLC

• Gerontology Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Gerontology Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.