Individual provider Active NPI

Olive Fujii, MSOT

  • Physical Rehabilitation Occupational Therapist
  • Portland, OR
National Provider Identifier
1740176379
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
520364 Issued in OR
Practice address
2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone
(503) 223-1856
Fax
(503) 223-1765
NPI assigned
Jun 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 520364 OR Primary

Addresses

Primary practice location

2330 NW Flanders St Ste G1
Portland, OR 97210-3441

Mailing address

2330 NW Flanders St Ste G1
Portland, OR 97210-3441
Phone (503) 223-1856

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911003255 OR Practitioner - Occupational Therapist in Private Practice 2466955851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KJB Consulting CorporationGroup PAC ID 1759504590, 18 clinicians

Practice addresses (Care Compare)

2330 NW Flanders St
Suite G1
Portland, OR 97210-3441
Phone (503) 223-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KJB Consulting Corporation CurrentSince Aug 7, 2025 Accepting new patients

Locations

2330 NW Flanders St
Ste G1
Portland, OR 97210
Phone (503) 224-9270

2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078

1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 473-6725

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1740176379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE G1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103441",
            "telephone_number": "503-223-1856",
            "fax_number": "503-223-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 NW FLANDERS ST STE G1",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103441",
            "telephone_number": "503-223-1856",
            "fax_number": "503-223-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJII",
        "first_name": "OLIVE",
        "credential": "MSOT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OR",
            "license": "520364",
            "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 Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.