Individual provider Active NPI

Kamal Gada, B.SC O.T.

  • Occupational Therapist
  • Hillsboro, OR
National Provider Identifier
1598964553
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1020170 Issued in OR
Practice address
1778 NE Cornell Rd
Hillsboro, OR 97124-2740
Phone
(503) 648-6621
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1020170 OR Primary

Addresses

Primary practice location

1778 NE Cornell Rd
Hillsboro, OR 97124-2740

Mailing address

6417 NE Southbrook CT
Hillsboro, OR 97124-5142
Phone (503) 336-3753

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

State licenses

LicenseStateTypeSpecialty
1020170ORMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1598964553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 NE SOUTHBROOK CT",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245142",
            "telephone_number": "503-336-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 NE CORNELL RD",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971242740",
            "telephone_number": "503-648-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADA",
        "first_name": "KAMAL",
        "credential": "B.SC  O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1020170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.