Active NPI
Cara Louise Cimino, OTD
- Occupational Therapist
- Portland, OR
National Provider Identifier
1609229509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 359020
- Practice address
- 9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643 - Phone
- (503) 216-2339
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2016 | NE | |
| Pediatric Occupational Therapist | 225XP0200X | 359020 | OR | |
| Occupational Therapist | 225X00000X | 359020 | OR | Primary |
Addresses
Primary practice location
9135 SW Barnes Rd Ste 561
Portland, OR 97225-6643
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (503) 215-6494
Other practice location 1
700 SW Campus Dr
Portland, OR 97239-3107
Phone (503) 494-8311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients | |
| University Professional Services | Past | Accepting new patients |
Locations
830 NE 47th Ave
Portland, OR 97213
Phone (503) 215-2233
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9135 SW Barnes Rd
Ste 561
Portland, OR 97225
Phone (503) 216-2339
Organizations & group practices 5
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Family Medicine Physician
- Portland, OR
- NPI 1124129903
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
-
- Pediatrics Physician
- Medford, OR
- NPI 1225282122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1609229509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "503-215-6494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 561",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256643",
"telephone_number": "503-216-2339"
}
],
"practiceLocations": [
{
"address_1": "700 SW Campus Dr",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393107",
"country_code": "US",
"telephone_number": "503-494-8311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CIMINO",
"first_name": "CARA",
"middle_name": "LOUISE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-15",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "2016",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "359020",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "359020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.