Individual provider Active NPI

Abigail Elise Quarterman, OTR/L, OTD

  • Occupational Therapist
  • Portland, OR
National Provider Identifier
1629733159
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
366307 Issued in OR
Practice address
5243 NE 21St Ave
Portland, OR 97211-5644
Phone
(206) 375-0293
NPI assigned
Oct 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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 366307 OR Primary

Addresses

Primary practice location

5243 NE 21St Ave
Portland, OR 97211-5644

Mailing address

5243 NE 21St Ave
Portland, OR 97211-5644
Phone (206) 375-0293

Other identifiers 2

IdentifierTypeStateIssuer
366307OtherOROREGON STATE LICENSURE
OT60700455OtherWAWASHINGTON STATE LICENSURE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209001318 OR Practitioner - Occupational Therapist in Private Practice 6002206851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand N Hand Home Rehab LLCGroup PAC ID 6709216898, 5 clinicians

Practice addresses (Care Compare)

9125 SW Boones Ferry Rd
Portland, OR 97219-4828
Phone (971) 208-5881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
366307ORMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hand N Hand Home Rehab, LLC Occupational Therapist CurrentSince Nov 1, 2021 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1629733159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 NE 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115644",
            "telephone_number": "206-375-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 NE 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115644",
            "telephone_number": "206-375-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTERMAN",
        "first_name": "ABIGAIL",
        "middle_name": "ELISE",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "366307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE LICENSURE",
            "identifier": "366307",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSURE",
            "identifier": "OT60700455",
            "state": "WA"
        }
    ],
    "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 Oct 31, 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.

Verify at the official NPI Registry.