Waterford Outpatient Rehabilitation Clinic

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

00002848 Issued in WA

Legal business name

WATERFORD OUTPATIENT REHABILITATION CLINIC

Practice address

2911 SE Village Loop
Vancouver, WA 98683-8103

Phone

(360) 433-6346

Fax

(360) 891-4532

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick R Bergin, BS, NHA

Title

Executive Director

Phone

(360) 854-2866

Specialties & licenses 6

Addresses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265522965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 SE VILLAGE LOOP",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838103",
            "telephone_number": "360-433-6346",
            "fax_number": "360-891-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SE VILLAGE LOOP",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838103",
            "telephone_number": "360-433-6346",
            "fax_number": "360-891-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD OUTPATIENT REHABILITATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-854-2866",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS, NHA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00007335",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00007567",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00002309",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "00002848",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "00003218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Women'S Sexual Health
• Ashlea Washington
• Juanita Washington
• Larry Lee Wasilenkoff, D.C.
• Alvin Shinichi Watanabe, DMD
• Karen T Waters, LMHC
• Charles Watkins
• Gina Marie Watkins, LCSW, LICSW
• Jeannette Rebecca Watkins
• Jeffrey Robert Watkins, M.D.

• Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.