Individual provider Active NPI

Clayton Ross Barnes-Rickett, OT/L

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1215389135
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
356396 Issued in OR
Practice address
8625 SW Cascade Ave
Beaverton, OR 97008-7121
Phone
(877) 755-8940
NPI assigned
Jul 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 356396 OR Primary

Addresses

Primary practice location

8625 SW Cascade Ave
Beaverton, OR 97008-7121

Mailing address

7125 SE Lincoln St
Portland, OR 97215-4051
Phone (972) 825-3561

Other names 1

  • Clayton Ross Rickett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
356396ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidscare Home Health of Oregon LLC CurrentSince Nov 29, 2020 Accepting new patients

Locations

8625 SW Cascade Ave
Beaverton, OR 97008
Phone (877) 755-8940

Organizations & group practices 1

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": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1215389135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 SE LINCOLN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972154051",
            "telephone_number": "972-825-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8625 SW CASCADE AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087121",
            "telephone_number": "877-755-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES-RICKETT",
        "first_name": "CLAYTON",
        "middle_name": "ROSS",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "356396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAYTON",
            "last_name": "RICKETT",
            "middle_name": "ROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.