Active NPI
Ryan Douglas Glover, OTR/L, CHT
- Hand Occupational Therapist
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 1041100414
- Practice address
- 24076 SE Stark St
Ste 200
Gresham, OR 97030-3373 - Phone
- (503) 491-1666
- Fax
- (503) 491-1667
- NPI assigned
- May 12, 2006
- Last updated
- Jan 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1023386 | OR | |
| Hand Occupational Therapist | 225XH1200X | 1041100414 | OR | Primary |
Addresses
Primary practice location
24076 SE Stark St
Ste 200
Gresham, OR 97030-3373
Mailing address
PO Box 2485
Gresham, OR 97030-0660
Phone (503) 674-7860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10121 SE Sunnyside Rd
Suite 208
Clackamas, OR 97015-5750
Phone (503) 794-0103
16100 NW Cornell Rd
Suite 110
Beaverton, OR 97006-7369
Phone (971) 245-6663
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023386 | OR | MD | Occupational Therapist |
| 1041100414 | OR | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Armworks Hand Therapy, LLC | Current | Accepting new patients | |
| Sportscare Physical Therapy @ Cornell, LLC | Occupational Therapist | Current | Accepting new patients |
| Sportscare Physical Therapy @ Cornell, LLC | Current | Accepting new patients | |
| Armworks Hand Therapy, LLC | Occupational Therapist | Current | Accepting new patients |
| Ryan Douglas Glover Armworks Hand Therapy | Hand | Past | Accepting new patients |
Locations
15390 NW Cornell Rd
Ste 230
Beaverton, OR 97006
Phone (971) 245-0103
16100 NW Cornell Rd
Ste 110
Beaverton, OR 97006
Phone (971) 245-6663
10121 SE Sunnyside Rd
Ste 208
Clackamas, OR 97015
Phone (503) 427-2956
9100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 659-3846
24076 SE Stark St
Ste 200
Gresham, OR 97030
Phone (503) 491-1666
10748 NE Halsey St
Portland, OR 97220
Phone (503) 257-9881
3871 Fairview Industrial Dr SE
Ste 120
Salem, OR 97302
Phone (503) 990-6393
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Beaverton, OR
- NPI 1649534793
-
- Hand Occupational Therapist
- Happy Valley, OR
- NPI 1346559598
-
dba Armworks Hand Therapy
- Hand Occupational Therapist
- Portland, OR
- NPI 1700891165
-
dba Gresham Armworks Hand Therapy
- Hand Occupational Therapist
- Gresham, OR
- NPI 1760516025
-
- Customized Equipment (DME)
- Lake Oswego, OR
- NPI 1134777691
-
- Occupational Therapist
- Gresham, OR
- NPI 1922371947
-
- Durable Medical Equipment & Medical Supplies
- Tigard, OR
- NPI 1255190153
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1568413847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2485",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970300660",
"telephone_number": "503-674-7860",
"fax_number": "503-674-7642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24076 SE STARK ST",
"address_2": "STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303373",
"telephone_number": "503-491-1666",
"fax_number": "503-491-1667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLOVER",
"first_name": "RYAN",
"middle_name": "DOUGLAS",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1023386",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OR",
"license": "1041100414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.