Active NPI
Marit Brown, OTD, OTR/L
- Occupational Therapist
- Bend, OR
National Provider Identifier
1609461409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 442421
- Practice address
- 211 NE Revere Ave # 7
Bend, OR 97701-4010 - Phone
- (541) 617-8769
- NPI assigned
- Mar 3, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 442421 | OR | Primary |
Addresses
Primary practice location
211 NE Revere Ave # 7
Bend, OR 97701-4010
Mailing address
61316 King Josiah PL
Bend, OR 97702-2858
Phone (425) 736-9880
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20310 Empire Ave
Suite A103
Bend, OR 97703-5723
Phone (541) 604-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonos Neurotherapies | Current | Accepting new patients |
Locations
20310 Empire Ave
Ste A103
Bend, OR 97703
Phone (541) 604-8255
Organizations & group practices 1
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.
-
- Hearing and Speech Clinic/Center
- Bend, OR
- NPI 1326467853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1609461409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61316 KING JOSIAH PL",
"city": "BEND",
"state": "OR",
"postal_code": "977022858",
"telephone_number": "425-736-9880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 NE REVERE AVE # 7",
"city": "BEND",
"state": "OR",
"postal_code": "977014010",
"telephone_number": "541-617-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MARIT",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "442421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.