Active NPI
Allison J Dehaan, OTR/L
- Occupational Therapist
- Milwaukie, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1072670
- Practice address
- Consonus Rehab Services
4560 SE International Way
Milwaukie, OR 97222 - Phone
- (971) 206-5140
- Fax
- (971) 206-5209
- NPI assigned
- Oct 2, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1072670 | OR | Primary |
Addresses
Primary practice location
Consonus Rehab Services
4560 SE International Way
Milwaukie, OR 97222
Mailing address
13270 NW Pettygrove St
Portland, OR 97229-4546
Phone (971) 275-7278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234430 | Other | OR | OMAP |
Other names 1
- Allison Van Eerden
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 NE 16TH Ave
Portland, OR 97232-1467
Phone (503) 288-6671
1417 SE 107TH Ave
Portland, OR 97216-3156
Phone (503) 408-0404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1072670 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Specialists Outpatient, LLC | Occupational Therapist | Current | Accepting new patients |
| Rehab Specialists Outpatient, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
4560 SE International Way
Ste 100
Portland, OR 97222
Phone (971) 206-5129
4560 SE International Way
Portland, OR 97222
Phone (971) 206-5140
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1376636076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13270 NW PETTYGROVE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972294546",
"telephone_number": "971-275-7278",
"fax_number": "971-206-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CONSONUS REHAB SERVICES",
"address_2": "4560 SE INTERNATIONAL WAY",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5140",
"fax_number": "971-206-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHAAN",
"first_name": "ALLISON",
"middle_name": "J",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1072670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "234430",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "VAN EERDEN",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.