Individual provider Active NPI

Michelle Denov Amir-Brownstein, OTR/L, OTD

  • Neurorehabilitation Occupational Therapist
  • Portland, OR
National Provider Identifier
1295485233
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
License
369443 Issued in OR
Practice address
11 NE Martin Luther King Jr Blvd Ste 302
Portland, OR 97232-3579
Phone
(971) 337-6372
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurorehabilitation Occupational Therapist 225XN1300X 369443 OR Primary

Addresses

Primary practice location

11 NE Martin Luther King Jr Blvd Ste 302
Portland, OR 97232-3579

Mailing address

8319 SW Taylors Ferry Rd
Portland, OR 97223-8951
Phone (818) 307-6322

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

LicenseStateTypeSpecialty
369443ORMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathoc LLC CurrentSince May 7, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1295485233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 SW TAYLORS FERRY RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238951",
            "telephone_number": "818-307-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NE MARTIN LUTHER KING JR BLVD STE 302",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323579",
            "telephone_number": "971-337-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR-BROWNSTEIN",
        "first_name": "MICHELLE",
        "middle_name": "DENOV",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OR",
            "license": "369443",
            "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 Mar 24, 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.