Community Pediatric Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

COMMUNITY PEDIATRIC THERAPY LLC

Doing business as

Community Pediatric Therapy LLC

Practice address

16081 SE Eider CT
Damascus, OR 97089-6809

Phone

(503) 298-6706

Fax

(503) 272-9393

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Juliette R Pierce, MOT, OTR/LNPI 1891280749

Title

Owner

Phone

(503) 298-6706

Specialties & licenses 1

Addresses

Other names 1

• Community Pediatric Therapy LLC Doing business as

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.

• Juliette Reine Pierce, OTR/L

  • Occupational Therapist
  • Damascus, OR
  • NPI 1891280749

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1194592907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16081 SE EIDER CT",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970896809",
            "telephone_number": "503-298-6706",
            "fax_number": "503-272-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16081 SE EIDER CT",
            "city": "DAMASCUS",
            "state": "OR",
            "postal_code": "970896809",
            "telephone_number": "503-298-6706",
            "fax_number": "503-272-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "JULIETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-298-6706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pediatric Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherri Brown, L.M.T.
• Ashley Yvette Bustamante
• Pauline Celino
• Elliott Hayden Chinn, DMD
• Karli Clark, LMT
• Kenneth Cox
• Damascus Family Dental LLC
• Cheryl Dene Davidson, CRNFA FNP-C
• Ryan Davis
• Beverly Ann De la Bruere

• Pediatric Occupational Therapist in Damascus, OR
• Providers in Damascus, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.