Active NPI
Ashley Hennessey, OTR/L
- Occupational Therapist
- Forest Grove, OR
National Provider Identifier
1275115040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 452245
- Practice address
- 3300 19TH Ave
Forest Grove, OR 97116-1910 - Phone
- (503) 357-7119
- NPI assigned
- Apr 22, 2021
- Last updated
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 452245 | OR | Primary |
Addresses
Primary practice location
3300 19TH Ave
Forest Grove, OR 97116-1910
Mailing address
2547 Williams St
Forest Grove, OR 97116-3078
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 |
|---|---|---|---|
| 452245 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1275115040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2547 WILLIAMS ST",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971163078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 19TH AVE",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161910",
"telephone_number": "503-357-7119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNESSEY",
"first_name": "ASHLEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "452245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.