Carrie Amanda Luse, MSR, OT/L, ATP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1053229 Issued in OR

Practice address

2100 NE Broadway Ste 119
Portland, OR 97232-1500

Phone

(503) 312-3348

Fax

(503) 536-6733

NPI assigned

Feb 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1649577487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 NE 40TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972125418",
            "telephone_number": "503-312-3348",
            "fax_number": "503-536-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY STE 119",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321500",
            "telephone_number": "503-312-3348",
            "fax_number": "503-536-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSE",
        "first_name": "CARRIE",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MSR, OT/L, ATP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1053229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitalie Dionis Lupu, MD
• Sarah Marie Luquette, LMT
• Jonathan Lurie, PH.D, CADC III
• Amy Carol Lurix
• Roy Creager Lusch, DDS
• Paula Luse, BS
• Danielle Lusich
• Jaimie Lusk, PSYD
• Jordan Lusk
• Kaymin Lusk

• Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.