Individual provider Active NPI

Whitney Swenson, COTA

  • Occupational Therapy Assistant
  • Portland, OR
National Provider Identifier
1366871881
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
308034 Issued in OR
Practice address
11325 NE Weidler St
Portland, OR 97220-1950
Phone
(503) 253-1181
Fax
(503) 253-1871
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 308034 OR Primary
Occupational Therapy Assistant 224Z00000X OC60339148 WA

Addresses

Primary practice location

11325 NE Weidler St
Portland, OR 97220-1950

Mailing address

11325 NE Weidler St
Portland, OR 97220-1950
Phone (503) 253-1181

Other identifiers 1

IdentifierTypeStateIssuer
308034OtherORCERTIFIED OCCUPATIONAL THERAPY ASSISTANT LICENSE

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

LicenseStateTypeSpecialty
308034ORMDOccupational Therapy Assistant
OC60339148WAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1366871881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 NE WEIDLER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201950",
            "telephone_number": "503-253-1181",
            "fax_number": "503-253-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 NE WEIDLER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201950",
            "telephone_number": "503-253-1181",
            "fax_number": "503-253-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "WHITNEY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "308034",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60339148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED OCCUPATIONAL THERAPY ASSISTANT LICENSE",
            "identifier": "308034",
            "state": "OR"
        }
    ],
    "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 Nov 5, 2013; 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.