Active NPI
Erin Boyll, OTD
- Gerontology Occupational Therapist
- Tigard, OR
National Provider Identifier
1275772121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 2501
- Practice address
- 16485 SW Pacific Hwy
Tigard, OR 97224-3446 - Phone
- (503) 620-5141
- Fax
- (971) 223-0410
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 2501 | OR | Primary |
Addresses
Primary practice location
16485 SW Pacific Hwy
Tigard, OR 97224-3446
Mailing address
1365 NE 13TH PL
Canby, OR 97013-2490
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2501 | OR | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1275772121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 NE 13TH PL",
"city": "CANBY",
"state": "OR",
"postal_code": "970132490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16485 SW PACIFIC HWY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972243446",
"telephone_number": "503-620-5141",
"fax_number": "971-223-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLL",
"first_name": "ERIN",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "OR",
"license": "2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.