Active NPI
Suzanna Lynne Haupt, MSOT, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1629276670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 232275
- Practice address
- 5701 SW Multnomah Blvd
Portland, OR 97219-3195 - Phone
- (888) 873-4221
- NPI assigned
- Jul 10, 2007
- 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 | 232275 | OR | Primary |
Addresses
Primary practice location
5701 SW Multnomah Blvd
Portland, OR 97219-3195
Mailing address
11595 SW Center St
Apt. 3
Beaverton, OR 97005-2264
Phone (503) 840-9457
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232275 | OR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1629276670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11595 SW CENTER ST",
"address_2": "APT. 3",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970052264",
"telephone_number": "503-840-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 SW MULTNOMAH BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972193195",
"telephone_number": "888-873-4221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUPT",
"first_name": "SUZANNA",
"middle_name": "LYNNE",
"credential": "MSOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "232275",
"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 Jul 10, 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.