Individual provider Active NPI

Elizabeth Yay-Gerwig, OTR/L, OTD

  • Occupational Therapist
  • Tualatin, OR
National Provider Identifier
1659046506
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
431043 Issued in OR
Practice address
19250 SW 65TH Ave Ste 125
Tualatin, OR 97062-7745
Phone
(503) 413-4505
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 431043 OR Primary
Occupational Therapist 225X00000X 20888 CA

Addresses

Primary practice location

19250 SW 65TH Ave Ste 125
Tualatin, OR 97062-7745

Mailing address

PO Box 6689
Portland, OR 97228-6689
Phone (503) 413-3900

Other practice location 1

342 Miramar Ave
San Francisco, CA 94112-1211
Phone (614) 558-0347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115002961 OR Practitioner - Occupational Therapist in Private Practice 9739617994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Jan 13, 2025 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Jan 13, 2025 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

19250 SW 65th Ave
Ste 125
Tualatin, OR 97062
Phone (503) 413-4505

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

19260 SW 65th Ave
Ste 165
Tualatin, OR 97062
Phone (503) 413-6534

Organizations & group practices 2

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1659046506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6689",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972286689",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 SW 65TH AVE STE 125",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627745",
            "telephone_number": "503-413-4505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "342 Miramar Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941121211",
            "country_code": "US",
            "telephone_number": "614-558-0347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAY-GERWIG",
        "first_name": "ELIZABETH",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "431043",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "20888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.