Pediatric Sensory Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1076095 Issued in OR

Legal business name

PEDIATRIC SENSORY THERAPY, LLC

Practice address

6635 N Baltimore Ave
Suite 228
Portland, OR 97203-5454

Phone

(503) 477-9527

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Lisa Gould-York, MOT, OTR/L

Title

Owner/Occupational Therapist

Phone

(503) 477-9527

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn Cannon, OT/L

  • Occupational Therapist
  • Portland, OR
  • NPI 1598998700
  NPD (past)
• Sally A Stepath, OTR/L, PSY.D.

  • Occupational Therapist
  • Portland, OR
  • NPI 1063528115
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1831444504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 N BALTIMORE AVE",
            "address_2": "SUITE 228",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035454",
            "telephone_number": "503-477-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6635 N BALTIMORE AVE",
            "address_2": "SUITE 228",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035454",
            "telephone_number": "503-477-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SENSORY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "GOULD-YORK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "503-477-9527",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1076095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273905",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry, RC
• Pediatric Endocrinology of Portland, P.C.
• Pediatric Intensive Care Trauma Associates PC
• Pediatric Occupational Therapy Solutions, LLC
• Pediatric Orthotic and Prosthetic Services - Northwest, LLC
• Pediatric Urgent Care LLC
• Elizabeth Burton Pedigo, MD
• Pedorthic Services, Inc.
• Rodrigo Pedraza Rosales, M.D.
• Maricela Pedro

• Pediatric Occupational Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.