Individual provider Active NPI

Allison Grosh, OTD, OTR/L

  • Occupational Therapist
  • Tualatin, OR
National Provider Identifier
1265981328
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
329993 Issued in OR
Practice address
8100 SW Nyberg St Ste 200
Tualatin, OR 97062-8437
Phone
(503) 570-3665
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 329993 OR Primary

Addresses

Primary practice location

8100 SW Nyberg St Ste 200
Tualatin, OR 97062-8437

Mailing address

3900 SW Altadena Ave
Portland, OR 97239-1328
Phone (503) 314-6242

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

LicenseStateTypeSpecialty
329993ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premere Rehab LLC Occupational Therapist CurrentSince Nov 11, 2022 Accepting new patients
Premere Rehab LLC Occupational Therapist CurrentSince Nov 11, 2022 Accepting new patients

Locations

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (360) 901-8111

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070
Phone (888) 757-3422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1265981328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SW ALTADENA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972391328",
            "telephone_number": "503-314-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 SW NYBERG ST STE 200",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628437",
            "telephone_number": "503-570-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSH",
        "first_name": "ALLISON",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "329993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.