Individual provider Active NPI

Jaclyn Sinauskas, OTR/L

  • Neurorehabilitation Occupational Therapist
  • Portland, OR
National Provider Identifier
1326406851
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X
Practice address
5601 SE 122ND Ave
Portland, OR 97236-4601
Phone
(503) 761-3181
NPI assigned
Jan 28, 2016
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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 Primary

Addresses

Primary practice location

5601 SE 122ND Ave
Portland, OR 97236-4601

Mailing address

5903 SE Insley St
Portland, OR 97206-5542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231215001808 OR Practitioner - Occupational Therapist in Private Practice 2961851928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab Specialists Outpatient, LLC CurrentSince Apr 1, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC CurrentSince Apr 1, 2024 Accepting new patients
Rehab Specialists Outpatient, LLC Current Accepting new patients

Locations

1417 SE 107th Ave
Portland, OR 97216
Phone (503) 408-0404

4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1326406851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 SE INSLEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 SE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972364601",
            "telephone_number": "503-761-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINAUSKAS",
        "first_name": "JACLYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": null,
            "license": null,
            "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 Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.