NPIMap

Organization Active NPI

Neurotherapeutic Pediatric Therapies Inc

Doing business as Medford Children's Therapy

  • Occupational Therapist
  • Medford, OR
National Provider Identifier
1467995084
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
NEUROTHERAPEUTIC PEDIATRIC THERAPIES INC
Doing business as
Medford Children's Therapy
Practice address
400 Crater Lake Ave
Medford, OR 97504-6808
Phone
(541) 613-6505
Fax
(541) 770-9212
NPI assigned
Nov 30, 2016
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Lorine S Forman, OTR/LNPI 1235253873
Title
Executive Director
Phone
(503) 657-8903

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Marriage & Family Therapist 106H00000X NU
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU
Pediatric Physical Therapist 2251P0200X NU
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X NU Primary
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Assistant 2355S0801X NU
Speech-Language Pathologist 235Z00000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

400 Crater Lake Ave
Medford, OR 97504-6808

Mailing address

610 High St
Oregon City, OR 97045-2241
Phone (503) 657-8903

Other names 1

  • Medford Children's Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neurotherapeutic Pediatric Therapies Inc9 organizations share this tax ID, including this one
Part of
Neurotherapeutic Pediatric Therapies Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 Crater Lake Ave
Medford, OR 97504
Phone (541) 613-6505

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1467995084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HIGH ST",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970452241",
            "telephone_number": "503-657-8903",
            "fax_number": "503-266-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-613-6505",
            "fax_number": "541-770-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTHERAPEUTIC PEDIATRIC THERAPIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC",
        "enumeration_date": "2016-11-30",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "LORINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-657-8903",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medford Children's Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medford Children's Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.