Active NPI
Victoria Kathryn Becker Reichman, OTD
- Pediatric Occupational Therapist
- Beaverton, OR
National Provider Identifier
1659785590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 227860
- Practice address
- 5505 SW 164TH CT
Beaverton, OR 97007-3444 - Phone
- (503) 830-0303
- NPI assigned
- Jun 18, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | 227860 | OR | |
| Mental Health Occupational Therapist | 225XM0800X | 227860 | OR | |
| Pediatric Occupational Therapist | 225XP0200X | 227860 | OR | Primary |
Addresses
Primary practice location
5505 SW 164TH CT
Beaverton, OR 97007-3444
Mailing address
5505 SW 164TH CT
Beaverton, OR 97007-3444
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vreichman111530@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227860 | OR | MD | Feeding, Eating & Swallowing Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Past | Accepting new patients |
Locations
9135 SW Barnes Rd
Ste 561
Portland, OR 97225
Phone (503) 216-2339
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9135 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
Interoperability endpoints
- vreichman111530@oc.providencedirect.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Medical Oncology Physician
- Portland, OR
- NPI 1295171767
-
- Psychiatry Physician
- Portland, OR
- NPI 1760177737
-
- Internal Medicine Physician
- Sherwood, OR
- NPI 1184729329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1659785590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 SW 164TH CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970073444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 SW 164TH CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970073444",
"telephone_number": "503-830-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHMAN",
"first_name": "VICTORIA",
"middle_name": "KATHRYN BECKER",
"credential": "OTD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "OR",
"license": "227860",
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "OR",
"license": "227860",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "227860",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "vreichman111530@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9135 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256646",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.