Active NPI
Joseph Michael Ippolito, OTR/L
- Occupational Therapist
- Eugene, OR
National Provider Identifier
1821712597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 379317
- Practice address
- 89 Centennial Loop Ste a
Eugene, OR 97401-7917 - Phone
- (541) 342-1632
- Fax
- (541) 636-3478
- NPI assigned
- Sep 27, 2022
- Last updated
- Apr 8, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 379317 | OR | Primary |
| Hand Occupational Therapist | 225XH1200X | 26943 | NY | |
| Hand Occupational Therapist | 225XH1200X |
Addresses
Primary practice location
89 Centennial Loop Ste a
Eugene, OR 97401-7917
Mailing address
2650 Suzanne Way Ste 200
Eugene, OR 97408-7619
Phone (541) 342-1632
Other practice location 1
134 Homer Ave
Cortland, NY 13045-1206
Phone (607) 756-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 379317 | OR | MD | Occupational Therapist |
| 26943 | NY | MD | Hand Occupational Therapist |
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.
-
- Physical Therapist
- Eugene, OR
- NPI 1649431636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1821712597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 SUZANNE WAY STE 200",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087619",
"telephone_number": "541-342-1632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 CENTENNIAL LOOP STE A",
"city": "EUGENE",
"state": "OR",
"postal_code": "974017917",
"telephone_number": "541-342-1632",
"fax_number": "541-636-3478"
}
],
"practiceLocations": [
{
"address_1": "134 Homer Ave",
"address_purpose": "LOCATION",
"city": "Cortland",
"state": "NY",
"postal_code": "130451206",
"country_code": "US",
"telephone_number": "607-756-3606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IPPOLITO",
"first_name": "JOSEPH",
"middle_name": "MICHAEL",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-27",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "379317",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NY",
"license": "26943",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.