Active NPI
Nicholas Horton, OTR/L
- Pediatric Occupational Therapist
- Portland, OR
National Provider Identifier
1235509647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT 60490276
- Practice address
- 737 NE Schuyler St
Portland, OR 97212-3924 - Phone
- (918) 565-0059
- NPI assigned
- Sep 28, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 328753 | OR | |
| Pediatric Occupational Therapist | 225XP0200X | OT 60490276 | WA | Primary |
Addresses
Primary practice location
737 NE Schuyler St
Portland, OR 97212-3924
Mailing address
737 NE Schuyler St
Portland, OR 97212-3924
Phone (918) 565-0059
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328753 | OR | MD | Physical Rehabilitation Occupational Therapist |
| OT 60490276 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1235509647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 NE SCHUYLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123924",
"telephone_number": "918-565-0059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 NE SCHUYLER ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123924",
"telephone_number": "918-565-0059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "NICHOLAS",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-28",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OR",
"license": "328753",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT 60490276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.