Active NPI
Maryam Malekpour, DROT
- Occupational Therapist
- Tigard, OR
National Provider Identifier
1366160673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 265047
- Practice address
- 14145 SW 105TH Ave
Tigard, OR 97224-4808 - Phone
- (503) 726-7312
- NPI assigned
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 265047 | OR | Primary |
Addresses
Primary practice location
14145 SW 105TH Ave
Tigard, OR 97224-4808
Mailing address
12369 SW Ames LN
Tigard, OR 97224-2822
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 |
|---|---|---|---|
| 265047 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1366160673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12369 SW AMES LN",
"city": "TIGARD",
"state": "OR",
"postal_code": "972242822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14145 SW 105TH AVE",
"city": "TIGARD",
"state": "OR",
"postal_code": "972244808",
"telephone_number": "503-726-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEKPOUR",
"first_name": "MARYAM",
"credential": "DROT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-22",
"last_updated": "2022-08-22",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "265047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.