Active NPI
Horses Adaptive Riding and Therapy
- Occupational Therapist
- Independence, OR
National Provider Identifier
1407305501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1050605
- Legal business name
- HORSES ADAPTIVE RIDING AND THERAPY
- Practice address
- 6665 Rickreall Rd
Independence, OR 97351-9630 - Phone
- (971) 301-4278
- NPI assigned
- Sep 29, 2016
- Last updated
- Sep 29, 2016
- 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
- Mrs. Susanne J Wainman
- Title
- Executive Director
- Phone
- (503) 510-7643
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A5573 | OR | |
| Occupational Therapist | 225X00000X | 1050605 | OR | Primary |
Addresses
Primary practice location
6665 Rickreall Rd
Independence, OR 97351-9630
Mailing address
6665 Rickreall Rd
Independence, OR 97351-9630
Phone (971) 301-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500615564 | Medicaid | OR |
Other names 1
- HART
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475107200000",
"number": "1407305501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6665 RICKREALL RD",
"city": "INDEPENDENCE",
"state": "OR",
"postal_code": "973519630",
"telephone_number": "971-301-4278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6665 RICKREALL RD",
"city": "INDEPENDENCE",
"state": "OR",
"postal_code": "973519630",
"telephone_number": "971-301-4278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORSES ADAPTIVE RIDING AND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A",
"authorized_official_last_name": "WAINMAN",
"authorized_official_first_name": "SUSANNE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "503-510-7643",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "A5573",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1050605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500615564",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HART",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Independence, OR
- Gypsum Medical Associates of Oregon, PC
- Christen Marie Hammond, R.N.
- Tatiana Ariel Harden, FNP
- Janice Hoida, PA-C
- Melissa Holtz
- Independence Pharmacy, Inc
- Independence SNF Operations, LLC (Independence Health & Rehabilitation Center)
- Independence-Monmouth Family Medicine PC
- Randall C Jones, DMD
- Jamie Michelle Kassner, AA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.