Mandy Bowdoin, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

430895 Issued in OR

Practice address

2411 19TH Ave
Forest Grove, OR 97116-2895

Phone

(321) 412-5018

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Our Spot for Kids, LLC

  • Rehabilitation Clinic/Center
  • Forest Grove, OR
  • NPI 1407520596
  NPD Authorized official

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1225631500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162895",
            "telephone_number": "321-412-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 19TH AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162895",
            "telephone_number": "321-412-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDOIN",
        "first_name": "MANDY",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "430895",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "430895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Bogroff
• Marilyn J Booth, M.D.
• Jamy Van Wyck Borbidge, O.D.
• Bours Health Center
• William Alsop Bours IV, M.D.
• Ryan Douglas Bowser
• Levi D Boyer
• Victoria Marie Bremont
• Brookdale Senior Living Communities, Inc. (Brookdale Forest Grove)
• Olivia Janine Browne

• Pediatric Occupational Therapist in Forest Grove, OR
• Providers in Forest Grove, 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 Nov 18, 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.