Active NPI
Amy Hietpas, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1295928273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1034106
- Practice address
- 6530 SW 30TH Ave
Portland, OR 97239-1007 - Phone
- (503) 595-8237
- NPI assigned
- Aug 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1034106 | OR | Primary |
Addresses
Primary practice location
6530 SW 30TH Ave
Portland, OR 97239-1007
Mailing address
6530 SW 30TH Ave
Portland, OR 97239-1007
Phone (503) 595-8237
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 |
|---|---|---|---|
| 1034106 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1295928273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6530 SW 30TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391007",
"telephone_number": "503-595-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6530 SW 30TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972391007",
"telephone_number": "503-595-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIETPAS",
"first_name": "AMY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1034106",
"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 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.