Individual provider Active NPI

Kebra Renee Porter, OTR/L, OTD

  • Hand Occupational Therapist
  • Seattle, WA
National Provider Identifier
1497223663
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT61001766 Issued in WA
Practice address
4245 Roosevelt Way NE FL 2
Seattle, WA 98105-6008
Phone
(206) 598-0085
Fax
(206) 598-4484
NPI assigned
Nov 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT61001766 WA Primary

Addresses

Primary practice location

4245 Roosevelt Way NE FL 2
Seattle, WA 98105-6008

Mailing address

4245 Roosevelt Way NE FL 2
Seattle, WA 98105-6008
Phone (206) 598-0085

Other names 1

  • Kebra Renee Rogers Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT61001766WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Uchealth Community Services Occupational Therapist CurrentSince Apr 15, 2024 Accepting new patients
Poudre Valley Medical Group, LLC Occupational Therapist Past Accepting new patients

Locations

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

175 Inverness Dr W
Ste 130
Englewood, CO 80112

175 Inverness Dr W
Ste 100
Greenwood Village, CO 80112
Phone (303) 964-3333

8155 Piney River Ave
Ste 100
Littleton, CO 80125
Phone (303) 265-3370

1760 E Ken Pratt Blvd
Ste 405
Longmont, CO 80504
Phone (720) 718-5400

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1497223663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 ROOSEVELT WAY NE FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056008",
            "telephone_number": "206-598-0085",
            "fax_number": "206-598-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 ROOSEVELT WAY NE FL 2",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056008",
            "telephone_number": "206-598-0085",
            "fax_number": "206-598-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KEBRA",
        "middle_name": "RENEE",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT61001766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEBRA",
            "last_name": "ROGERS",
            "middle_name": "RENEE",
            "credential": "OTR/L, OTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.