Active NPI
Bridges
- Driving and Community Mobility Occupational Therapist
- Tigard, OR
National Provider Identifier
1740995646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driving and Community Mobility Occupational Therapist
- Legal business name
- BRIDGES
- Practice address
- 16200 SW Pacific Hwy
Suite H #177
Tigard, OR 97224 - Phone
- (503) 683-1528
- NPI assigned
- Jan 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Pidkowicz, OTR/L
- Title
- President
- Phone
- (661) 714-4178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapist | 225XR0403X | Primary |
Addresses
Primary practice location
16200 SW Pacific Hwy
Suite H #177
Tigard, OR 97224
Mailing address
16200 SW Pacific Hwy
Suite H #177
Tigard, OR 97224
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | IntakeQ | Direct |
National Provider Directory
National Provider DirectoryLocations
16200 SW Pacific Hwy
Ste H
Tigard, OR 97224
Phone (503) 683-1528
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Portland, OR
- NPI 1629958087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673827200000",
"number": "1740995646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16200 SW PACIFIC HWY",
"address_2": "SUITE H #177",
"city": "TIGARD",
"state": "OR",
"postal_code": "97224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16200 SW PACIFIC HWY",
"address_2": "SUITE H #177",
"city": "TIGARD",
"state": "OR",
"postal_code": "97224",
"telephone_number": "503-683-1528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGES",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A",
"authorized_official_last_name": "PIDKOWICZ",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "661-714-4178",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225XR0403X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Driving and Community Mobility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "IntakeQ",
"affiliation": "N",
"endpointDescription": "secure EMR syste",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16200 SW Pacific Hwy",
"address_2": "Suite H #177",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "97224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.