Individual provider Active NPI

Paulette Ann Richards, COTA L BCIAC BA

  • Rehabilitation Practitioner
  • Junction City, OR
National Provider Identifier
1518923200
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
247221 Issued in OR
Practice address
24820 Paradise Drive
Junction City, OR 97448
Phone
(541) 935-7658
NPI assigned
Apr 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X 247221 OR Primary
Rehabilitation Practitioner 225400000X B4538 CO

Addresses

Primary practice location

24820 Paradise Drive
Junction City, OR 97448

Mailing address

24820 Paradise Drive
Junction City, OR 97448
Phone (541) 935-7658

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
B4538COMDRehabilitation Practitioner
247221ORMDRehabilitation Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518923200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24820 PARADISE DRIVE",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "97448",
            "telephone_number": "541-935-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24820 PARADISE DRIVE",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "97448",
            "telephone_number": "541-935-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "PAULETTE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "COTA L BCIAC BA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "OR",
            "license": "247221",
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CO",
            "license": "B4538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Junction City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.