Individual provider Active NPI

Shruti Uday Gadkari, OTD, OTR/L, BCP

  • Occupational Therapist
  • Beaverton, OR
National Provider Identifier
1427834076
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
290467 Issued in OR
Practice address
1500 NW Bethany Blvd Ste 195
Beaverton, OR 97006-5235
Phone
(503) 346-0640
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 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 290467 OR Primary

Addresses

Primary practice location

1500 NW Bethany Blvd Ste 195
Beaverton, OR 97006-5235

Mailing address

11029 SW Tualatin Rd
Tualatin, OR 97062-8043
Phone (213) 400-5364

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
290467ORMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1427834076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11029 SW TUALATIN RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628043",
            "telephone_number": "213-400-5364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD STE 195",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065235",
            "telephone_number": "503-346-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADKARI",
        "first_name": "SHRUTI",
        "middle_name": "UDAY",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L, BCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "290467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.