Active NPI
Abigail Elise Quarterman, OTR/L, OTD
- Occupational Therapist
- Portland, OR
National Provider Identifier
1629733159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 366307
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366307 | Other | OR | OREGON STATE LICENSURE |
| OT60700455 | Other | WA | WASHINGTON STATE LICENSURE |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 366307 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand N Hand Home Rehab, LLC | Occupational Therapist | Current | 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.
-
- Occupational Therapist
- Portland, OR
- NPI 1376175257
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.