Sunbreak Therapy Services, Inc
Organization Active NPI Speech-Language Pathologist · Canby, OR
NPI 1497150247 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1497150247
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- SUNBREAK THERAPY SERVICES, INC
- Practice address
- 366 N. Holly St.
Canby, OR 97013 - Phone
- (503) 266-1030
- Fax
- (971) 244-9044
- NPI assigned
- Oct 22, 2014
- Organization subpart
- No
Authorized official
- Name
- Sarah E Burgon
- Title
- Owner
- Phone
- (503) 266-1030
Practitioners 22
-
Anna Jean Scarborough, M.S-CF-SLP
-
Danielle Lauren Beck, OTR
-
Sarah E Burgon, SLP
-
Natasha Harwood, SLP
-
Ashley Heath, M.S., SLP
-
Carrie Miller-Conley, OTR, OTD
-
Kenneth Daniel O'Dea, CCC-SLP
-
Anne Phan, OTR/L, MSOT
-
Darryn Marie Sikora, PHD
-
Hannah Elizabeth Walsh, M.S., CCC-SLP
-
Devon Hordes, CCC-SLP
-
Erin Bricker, M.S., CCC-SLP
-
Kristen Hardy, M.S., CCC-SLP
-
Olivia Grace Myers, OTD, OTR/L
-
Michal Gloria Tromley, M.A., CF-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230719002773 | OR | Part B Supplier - Clinic/Group Practice | 3870953045 |
Receives reassigned benefits from 3 practitioners Practice locations: Beaverton, OR; Canby, OR; Portland, OR |
National Provider Directory
Locations
8700 SW Creekside Pl
Ste B
Beaverton, OR 97008
Phone (503) 224-2184
366 N Holly St
Canby, OR 97013
Phone (503) 266-1030
181 N Grant St
Ste 207A
Canby, OR 97013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | 013412 | OR | |
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
366 N. Holly St.
Canby, OR 97013
Mailing address
PO Box 946
Canby, OR 97013
Phone (503) 266-1030
Other practice location 1
6516 NE Siskiyou St
Portland, OR 97213-4572
Phone (503) 266-1030
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500658826 | Medicaid | OR | |
| 1518369123 | Other | OR | NPI |
| 1740832732 | Other | OR | NPI |
| 1962540153 | Other | OR | NPI |
Other names
- Speech With Sarah, LLC
- Speech With Sarah - LLC
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@sunbreakclinic.com | Direct |
Other providers in Canby, OR
- Teresa M Starr
- Roger D. Stewart
- Madelyn Aileen Stockslager
- Dana Stroud
- Michele L Sullivan
- Peter C Sunderland
- Sunshine Family Healthcare
- Sunshine Family Midwifery
- Erin Lynn Sweet-Brazel
- Tara Young PHD Rd Nutrition Consultant LLC
All providers in Canby, OR · Speech-Language Pathologist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.