Active NPI
Power to the Pelvis
- Physical Rehabilitation Occupational Therapist
- Portland, OR
National Provider Identifier
1275289241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367851 | Other | OR | OCCUPATIONAL THERAPIST LICENSE |
| 23171 | Other | CA | OCCUPATIONAL THERAPIST LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.