Organization Active NPI

Power to the Pelvis

  • Physical Rehabilitation Occupational Therapist
  • Portland, OR
National Provider Identifier
1275289241
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
POWER TO THE PELVIS
Practice address
436 SE 12TH Ave
Portland, OR 97214-1323
Phone
(503) 305-3088
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Kiyoko Williams, OTD
Title
Dr.
Phone
(805) 801-1349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

436 SE 12TH Ave
Portland, OR 97214-1323

Mailing address

436 SE 12TH Ave
Portland, OR 97214-1323
Phone (503) 305-3088

Other identifiers 2

IdentifierTypeStateIssuer
367851OtherOROCCUPATIONAL THERAPIST LICENSE
23171OtherCAOCCUPATIONAL THERAPIST LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1275289241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141323",
            "telephone_number": "503-305-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SE 12TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141323",
            "telephone_number": "503-305-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER TO THE PELVIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIYOKO",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "805-801-1349",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "367851",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST LICENSE",
            "identifier": "23171",
            "state": "CA"
        }
    ],
    "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 Feb 28, 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.