Individual provider Active NPI

Erica Johanna Liepelt, OTR, CHT

  • Hand Occupational Therapist
  • Portland, OR
National Provider Identifier
1386791754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
969795 Issued in OR
Practice address
5331 SW Macadam Ave
Suite 277
Portland, OR 97239-6104
Phone
(503) 229-8300
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 969795 OR Primary

Addresses

Primary practice location

5331 SW Macadam Ave
Suite 277
Portland, OR 97239-6104

Mailing address

PO Box 82564
Portland, OR 97282-0564
Phone (503) 229-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070622000380 OR Practitioner - Occupational Therapist in Private Practice 6709985328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
969795ORMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center of Or LLC CurrentSince May 10, 2021 Accepting new patients
Orthopedic & Sports Medicine Center of Oregon LLC CurrentSince May 10, 2021 Accepting new patients
Hands on Upper Extremity Rehab LLC Hand PastSince Mar 16, 2007 Accepting new patients

Locations

17355 Boones Ferry Rd
Ste 100A
Lake Oswego, OR 97035
Phone (503) 256-5866

Organizations & group practices 3

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386791754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82564",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972820564",
            "telephone_number": "503-229-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 SW MACADAM AVE",
            "address_2": "SUITE 277",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396104",
            "telephone_number": "503-229-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEPELT",
        "first_name": "ERICA",
        "middle_name": "JOHANNA",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "969795",
            "primary": true
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.