Active NPI
Lara Levine, OTR L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1346315439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 214262
- Practice address
- 3181 SE Sam Jackson Road
Portland, OR 97239 - Phone
- (503) 494-9171
- Fax
- (503) 494-4447
- NPI assigned
- Nov 22, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 214262 | OR | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT00004300 | WA |
Addresses
Primary practice location
3181 SE Sam Jackson Road
Portland, OR 97239
Mailing address
2217 SE Clinton St
Portland, OR 97202-1232
Phone (503) 752-3404
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT00004300 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1346315439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2217 SE CLINTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972021232",
"telephone_number": "503-752-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SE SAM JACKSON ROAD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-9171",
"fax_number": "503-494-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "LARA",
"name_prefix": "Mrs.",
"credential": "OTR L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "214262",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT00004300",
"primary": false
}
],
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.