Individual provider Active NPI

Julie Jo Cline, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Bend, OR
National Provider Identifier
1417048315
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
996BDS Issued in OR
Practice address
60575 Billadeau Rd
Bend, OR 97702-9338
Phone
(541) 389-1848
NPI assigned
Sep 27, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 996BDS OR Primary
Pediatric Occupational Therapist 225XP0200X 1070199 OR

Addresses

Primary practice location

60575 Billadeau Rd
Bend, OR 97702-9338

Mailing address

2125 NE Daggett LN
Bend, OR 97701-6560
Phone (541) 389-1848

Other practice location 1

4560 SE International Way
Consonus Rehab Services
Milwaukie, OR 97222
Phone (971) 206-5140

Other identifiers 1

IdentifierTypeStateIssuer
029051OtherOROMAP NUMBER

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
996BDSORMDOccupational Therapist
1070199ORMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417048315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 NE DAGGETT LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016560",
            "telephone_number": "541-389-1848",
            "fax_number": "541-550-7956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60575 BILLADEAU RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029338",
            "telephone_number": "541-389-1848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4560 SE International Way",
            "address_2": "Consonus Rehab Services",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "97222",
            "country_code": "US",
            "telephone_number": "971-206-5140",
            "fax_number": "971-206-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "JULIE",
        "middle_name": "JO",
        "name_prefix": "Miss",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "996BDS",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1070199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP NUMBER",
            "identifier": "029051",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.