Active NPI
Nicole Veloso, MOT, OTR
- Pediatric Occupational Therapist
- Portland, OR
National Provider Identifier
1437739117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 354210
- Practice address
- 8339 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215 - Phone
- (503) 245-5639
- NPI assigned
- Apr 8, 2021
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT61482761 | WA | |
| Pediatric Occupational Therapist | 225XP0200X | 117483 | TX | |
| Pediatric Occupational Therapist | 225XP0200X | 354210 | OR | Primary |
Addresses
Primary practice location
8339 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Mailing address
8339 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2215
Phone (503) 245-5639
Other practice location 1
5524 Bee Caves Rd Ste L
West Lake Hills, TX 78746-5279
Phone (512) 327-4499
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
| License | State | Type | Specialty |
|---|---|---|---|
| 354210 | OR | MD | Pediatric Occupational Therapist |
| 117483 | TX | MD | Pediatric Occupational Therapist |
| OT61482761 | WA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1437739117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8339 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252215",
"telephone_number": "503-245-5639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8339 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252215",
"telephone_number": "503-245-5639"
}
],
"practiceLocations": [
{
"address_1": "5524 Bee Caves Rd Ste L",
"address_purpose": "LOCATION",
"city": "West Lake Hills",
"state": "TX",
"postal_code": "787465279",
"country_code": "US",
"telephone_number": "512-327-4499",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELOSO",
"first_name": "NICOLE",
"credential": "MOT, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WA",
"license": "OT61482761",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "117483",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "354210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.