Individual provider Active NPI

Ashley Guieb, OTR/L, OTD

  • Physical Rehabilitation Occupational Therapist
  • Forest Grove, OR
National Provider Identifier
1578029369
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
392011 Issued in OR
Practice address
3900 Pacific Ave
Forest Grove, OR 97116-2226
Phone
(503) 359-0449
NPI assigned
Feb 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 392011 OR Primary

Addresses

Primary practice location

3900 Pacific Ave
Forest Grove, OR 97116-2226

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone (971) 364-0611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001324 OR Practitioner - Occupational Therapist in Private Practice 2860852779 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TSL Well LLCGroup PAC ID 0345776050, 11 clinicians

Practice addresses (Care Compare)

1950 NE 102ND Ave
Hillsboro, OR 97006-6514
Phone (503) 629-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TSL Well LLC CurrentSince Dec 1, 2024 Accepting new patients
Premere Rehab LLC CurrentSince Jul 3, 2023 Accepting new patients
Premere Rehab LLC CurrentSince Jul 3, 2023 Accepting new patients

Locations

3330 SE Three Mile Ln
McMinnville, OR 97128
Phone (971) 645-1650

822 Golf View Dr
Medford, OR 97504
Phone (541) 774-1822

8100 SW Nyberg St
Ste 200
Tualatin, OR 97062
Phone (503) 570-3365

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070
Phone (888) 757-3422

Organizations & group practices 3

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": "1550275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1578029369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "971-364-0611",
            "fax_number": "971-364-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PACIFIC AVE",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162226",
            "telephone_number": "503-359-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIEB",
        "first_name": "ASHLEY",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OR",
            "license": "392011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.

Verify at the official NPI Registry.