Active NPI
Nathan Hebda, OTR/L, C/NDT
- Occupational Therapist
- Portland, OR
National Provider Identifier
1235753310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 319439
- Practice address
- 10748 NE Halsey St
Portland, OR 97220-3961 - Phone
- (503) 257-9881
- Fax
- (503) 257-8964
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 319439 | OR | Primary |
| Hand Occupational Therapist | 225XH1200X | 319439 | OR | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT.0009069 | CO |
Addresses
Primary practice location
10748 NE Halsey St
Portland, OR 97220-3961
Mailing address
10121 SE Sunnyside Rd Ste 208
Clackamas, OR 97015-5750
Phone (503) 257-9881
Other practice location 1
3600 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
500 NE Multnomah St
Suite 100
Portland, OR 97232-2031
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 319439 | OR | MD | Hand Occupational Therapist |
| OT.0009069 | CO | MD | Physical Rehabilitation Occupational Therapist |
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1235753310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10121 SE SUNNYSIDE RD STE 208",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970155750",
"telephone_number": "503-257-9881",
"fax_number": "503-257-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10748 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972203961",
"telephone_number": "503-257-9881",
"fax_number": "503-257-8964"
}
],
"practiceLocations": [
{
"address_1": "3600 N Interstate Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271106",
"country_code": "US",
"telephone_number": "800-813-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEBDA",
"first_name": "NATHAN",
"credential": "OTR/L, C/NDT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "319439",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OR",
"license": "319439",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CO",
"license": "OT.0009069",
"primary": false
}
],
"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 Jul 28, 2026; 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.