Active NPI
Julie Killpack Arbor, OTR/L
- Occupational Therapist
- Portland, OR
National Provider Identifier
1699167080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 338863
- Practice address
- 1425 N Killingsworth St
Portland, OR 97217-4541 - Phone
- (503) 575-9402
- Fax
- (844) 234-8735
- NPI assigned
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 338863 | OR | Primary |
Addresses
Primary practice location
1425 N Killingsworth St
Portland, OR 97217-4541
Mailing address
1425 N Killingsworth St
Portland, OR 97217-4541
Phone (503) 575-9402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338863 | OR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumlar Therapy Service, Inc. | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1699167080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174541",
"telephone_number": "503-575-9402",
"fax_number": "844-234-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N KILLINGSWORTH ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972174541",
"telephone_number": "503-575-9402",
"fax_number": "844-234-8735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARBOR",
"first_name": "JULIE",
"middle_name": "KILLPACK",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-23",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "338863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.