Individual provider Active NPI

Kailey Ann Beckwith Lonigro, OTD

  • Occupational Therapist
  • Bend, OR
National Provider Identifier
1215779863
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
497163 Issued in OR
Practice address
2951 NE Stanton Ave Unit 2
Bend, OR 97701-9830
Phone
(360) 703-5997
NPI assigned
Jun 12, 2024
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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 497163 OR Primary

Addresses

Primary practice location

2951 NE Stanton Ave Unit 2
Bend, OR 97701-9830

Mailing address

2951 NE Stanton Ave Unit 2
Bend, OR 97701-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926001231 OR Practitioner - Occupational Therapist in Private Practice 8820539174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1010 NE Purcell Blvd
Bend, OR 97701-5113
Phone (541) 385-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Sep 20, 2024 Accepting new patients

Locations

1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042

1025 NE Purcell Blvd
Bend, OR 97701
Phone (503) 312-4300

20215 Powers Rd
Bend, OR 97702
Phone (541) 318-3322

20225 Powers Rd
Bend, OR 97702
Phone (541) 318-3322

4650 SW Hollyhock Cir
Corvallis, OR 97333
Phone (541) 758-2026

621 W Oak St
Lebanon, OR 97355
Phone (541) 258-7777

4452 Lancaster Dr NE
Salem, OR 97305
Phone (503) 390-3216

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1215779863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NE STANTON AVE UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NE STANTON AVE UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977019830",
            "telephone_number": "360-703-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONIGRO",
        "first_name": "KAILEY",
        "middle_name": "ANN BECKWITH",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "497163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.