Organization Active NPI

Horses Adaptive Riding and Therapy

  • Occupational Therapist
  • Independence, OR
National Provider Identifier
1407305501
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1050605 Issued in OR
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500615564MedicaidOR

Other names 1

  • HART Other name

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.