Active NPI
Susan K Temme, OTR
- Pediatric Occupational Therapist
- Gresham, OR
National Provider Identifier
1376516716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 916428
- Practice address
- 7927 SE Orient Dr
Gresham, OR 97080 - Phone
- (503) 663-0332
- Fax
- (503) 663-1114
- NPI assigned
- Feb 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 916428 | OR | Primary |
Addresses
Primary practice location
7927 SE Orient Dr
Gresham, OR 97080
Mailing address
8280 SW Connemara Terr
Beaverton, OR 97008
Phone (503) 663-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021522 | Medicaid | OR |
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 |
|---|---|---|---|
| 916428 | OR | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376516716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8280 SW CONNEMARA TERR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "97008",
"telephone_number": "503-663-0332",
"fax_number": "503-663-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7927 SE ORIENT DR",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97080",
"telephone_number": "503-663-0332",
"fax_number": "503-663-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEMME",
"first_name": "SUSAN",
"middle_name": "K",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "916428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021522",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.