Leg Up Lymphedema Care PLLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

LEG UP LYMPHEDEMA CARE PLLC

Practice address

611 W 32ND St
Vancouver, WA 98660-2163

Phone

(503) 295-3602

NPI assigned

Sep 29, 2021

Last updated

Sep 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Douglas Varenas, OTR/LNPI 1932509601

Title

Proprietor

Phone

(503) 295-3602

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Varenas

  • Occupational Therapist
  • Vancouver, WA
  • NPI 1932509601
  Medicare reassignment NPD Authorized official
• Nicole Randt, OTR/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1205264785

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1639841588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W 32ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W 32ND ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602163",
            "telephone_number": "503-295-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEG UP LYMPHEDEMA CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "VARENAS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "503-295-3602",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarek Lee
• Evelyn Leechawengwongs, M.D.
• Mitzy Danae Leeper, LMT, TTT
• Temple Leffingwell
• Michael Scott Lefore, ATC, CSCS
• Legacy Afh LLC
• Legacy Salmon Creek Hospital (Legacy Salmon Creek Providers)
• Legacy Salmon Creek Hospital (Legacy Salmon Creek Hospital DPP)
• Legacy Salmon Creek Hospital (Legacy Salmon Creek Radiation Oncology)
• Legacy Salmon Creek Hospital

• Physical Rehabilitation Occupational Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Rehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.

Verify at the official NPI Registry.