Active NPI
Sensory Kids, LLC
- Pediatric Occupational Therapist
- Portland, OR
National Provider Identifier
1265660849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 995621
- Legal business name
- SENSORY KIDS, LLC
- Practice address
- 1425 N Killingsworth St
Portland, OR 97217 - Phone
- (503) 575-9402
- NPI assigned
- Jun 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa M Porter, MOT, OTR/L
- Title
- Occupational Therapist
- Phone
- (503) 575-9402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 995621 | OR | Primary |
Addresses
Primary practice location
1425 N Killingsworth St
Portland, OR 97217
Mailing address
1425 N Killingsworth St
Portland, OR 97217-4541
Phone (503) 575-9402
Other names 1
- Sensory KIDS, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380758400000",
"number": "1265660849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174541",
"telephone_number": "503-575-9402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97217",
"telephone_number": "503-575-9402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENSORY KIDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-23",
"last_updated": "2013-10-03",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "503-575-9402",
"authorized_official_credential": "MOT, OTR/L"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "995621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sensory KIDS, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.