Individual provider Active NPI

Bethany McGinley Kerr, OTR/L

  • Occupational Therapist
  • Oregon City, OR
National Provider Identifier
1407355795
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
393194 Issued in OR
Practice address
610 High St
Oregon City, OR 97045-2241
Phone
(503) 657-8903
Fax
(503) 650-4302
NPI assigned
Feb 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 393194 OR Primary

Addresses

Primary practice location

610 High St
Oregon City, OR 97045-2241

Mailing address

113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903

Other practice location 1

10130 NE Skidmore St
Portland, OR 97220-3570
Phone (503) 257-3878

Other identifiers 2

IdentifierTypeStateIssuer
500741566MedicaidOR
2125905MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
393194ORMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1407355795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N ELM ST",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133519",
            "telephone_number": "503-263-8903",
            "fax_number": "503-266-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HIGH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452241",
            "telephone_number": "503-657-8903",
            "fax_number": "503-650-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10130 NE Skidmore St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972203570",
            "country_code": "US",
            "telephone_number": "503-257-3878",
            "fax_number": "971-279-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "BETHANY",
        "middle_name": "MCGINLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "393194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500741566",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.