Active NPI
Kellie Sue Volmer, LMP, COTA
- Occupational Therapy Assistant
- Portland, OR
National Provider Identifier
1295088649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 452921
- Practice address
- 3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964 - Phone
- (503) 220-8262
- NPI assigned
- Oct 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60317012 | WA | |
| Occupational Therapy Assistant | 224Z00000X | 452921 | OR | Primary |
Addresses
Primary practice location
3710 SW US Veterans Hospital Rd
Portland, OR 97239-2964
Mailing address
5401 Leary Ave NW
Seattle, WA 98107-4070
Phone (206) 623-0373
Other practice location 1
5401 Leary Ave NW
Seattle, WA 98107-4070
Phone (206) 623-0373
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 |
|---|---|---|---|
| 452921 | OR | MD | Occupational Therapy Assistant |
| MA60317012 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661558400000",
"number": "1295088649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 LEARY AVE NW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074070",
"telephone_number": "206-623-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3710 SW US VETERANS HOSPITAL RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972392964",
"telephone_number": "503-220-8262"
}
],
"practiceLocations": [
{
"address_1": "5401 Leary Ave NW",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981074070",
"country_code": "US",
"telephone_number": "206-623-0373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VOLMER",
"first_name": "KELLIE",
"middle_name": "SUE",
"credential": "LMP, COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2022-08-27",
"certification_date": "2022-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60317012",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OR",
"license": "452921",
"primary": true
}
],
"identifiers": [],
"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 Aug 27, 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.