Individual provider Active NPI

Tami Lynne Roniger, MS, OTR/L

  • Occupational Therapist
  • Portland, OR
National Provider Identifier
1790942092
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2341 Issued in OR
Practice address
8419 NE Beech St
Portland, OR 97220-5008
Phone
(503) 244-3844
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2341 OR Primary

Addresses

Primary practice location

8419 NE Beech St
Portland, OR 97220-5008

Mailing address

8419 NE Beech St
Portland, OR 97220-5008
Phone (503) 244-3844

Other identifiers 1

IdentifierTypeStateIssuer
182775MedicaidOR

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2341ORMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1790942092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 NE BEECH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205008",
            "telephone_number": "503-244-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 NE BEECH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205008",
            "telephone_number": "503-244-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONIGER",
        "first_name": "TAMI",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "2341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182775",
            "state": "OR"
        }
    ],
    "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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.