Risewell Foundation

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RISEWELL FOUNDATION

Practice address

1613 NE 259TH St
Ridgefield, WA 98642-8787

Phone

(360) 606-4300

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By 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

Dr. Dr. Courtney McIntyre, OTD, OTR/L

Title

President

Phone

(360) 606-4300

Specialties & licenses 4

Addresses

Practitioners 1

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.

• Courtney Gail McIntyre, OTD

  • Occupational Therapist
  • Camas, WA
  • NPI 1932682697
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1649009614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 NW JULIA ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077544",
            "telephone_number": "360-606-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 NE 259TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986428787",
            "telephone_number": "360-606-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISEWELL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "DR.",
        "authorized_official_middle_name": "COURTNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-606-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridgefield Massage
• Ridgefield Physical Therapy PLLC
• Ridgefield School District
• Ridgefield Therapeutic Massage LLC
• Justin William Rinta, LMHC
• Gabrielle Rivera-Johnson, FNP-C
• Kimberly Sue Roberts, CPST.PE.70051420
• Rosauers Supermarkets Inc
• Parastou Sabouri
• Kathryn Sauer

• Occupational Therapist in Ridgefield, WA
• Providers in Ridgefield, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.