Active NPI
PT & OT of Oregon, LLC
- Occupational Therapist
- Portland, OR
National Provider Identifier
1396957817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- PT & OT OF OREGON, LLC
- Practice address
- 4305 SE Milwaukie Ave
Portland, OR 97202-3960 - Phone
- (503) 232-3955
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Lee White
- Title
- Member
- Phone
- (206) 367-5853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
4305 SE Milwaukie Ave
Portland, OR 97202-3960
Mailing address
18801 37TH Ave NE
Lake Forest Park, WA 98155-2713
Phone (206) 367-5853
Other names 1
- PACIFIC NORTHWEST PEDIATRIC THERAPY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Shoreline, WA
- NPI 1942374707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396957817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18801 37TH AVE NE",
"city": "LAKE FOREST PARK",
"state": "WA",
"postal_code": "981552713",
"telephone_number": "206-367-5853",
"fax_number": "206-367-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4305 SE MILWAUKIE AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023960",
"telephone_number": "503-232-3955"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT & OT OF OREGON, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "206-367-5853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PACIFIC NORTHWEST PEDIATRIC THERAPY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.