Individual provider Active NPI

Joelle Jordan Fieland, COTA/L

  • Occupational Therapy Assistant
  • Tigard, OR
National Provider Identifier
1447916127
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
456697 Issued in OR
Practice address
16485 SW Pacific Hwy
Tigard, OR 97224-3446
Phone
(503) 570-3665
NPI assigned
Nov 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 456697 OR Primary

Addresses

Primary practice location

16485 SW Pacific Hwy
Tigard, OR 97224-3446

Mailing address

21159 NW Galice LN Apt 305
Portland, OR 97229-7175
Phone (541) 409-1435

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
456697ORMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1447916127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21159 NW GALICE LN APT 305",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972297175",
            "telephone_number": "541-409-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16485 SW PACIFIC HWY",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972243446",
            "telephone_number": "503-570-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELAND",
        "first_name": "JOELLE",
        "middle_name": "JORDAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "456697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.