Organization Active NPI

Advanced Pediatric Therapies

  • Pediatric Occupational Therapist
  • Portland, OR
National Provider Identifier
1851615751
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1021785 Issued in OR
Legal business name
ADVANCED PEDIATRIC THERAPIES
Practice address
4444 SW Multnomah Blvd
Portland, OR 97219-3558
Phone
(503) 245-5629
NPI assigned
Mar 22, 2010
Organization subpart
Yes
Parent organization
ADVANCED PEDIATRIC THERAPIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Sharron DonnellyNPI 1386968493
Title
Occupational Therapist
Phone
(971) 207-6550

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)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X 1021785 OR Primary

Addresses

Primary practice location

4444 SW Multnomah Blvd
Portland, OR 97219-3558

Mailing address

4444 SW Multnomah Blvd
Portland, OR 97219-3558
Phone (503) 245-5629

National Provider Directory

National Provider Directory

Locations

4444 SW Multnomah Blvd
Portland, OR 97219
Phone (503) 245-5629

8339 SW Beaverton Hillsdale Hwy
Portland, OR 97225
Phone (503) 245-5639

4201 NE 66th Ave
Ste 106
Vancouver, WA 98661
Phone (360) 885-4684

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1851615751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193558",
            "telephone_number": "503-245-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 SW MULTNOMAH BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193558",
            "telephone_number": "503-245-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PEDIATRIC THERAPIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED PEDIATRIC THERAPIES",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "SHARRON",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "971-207-6550"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1021785",
            "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 Mar 22, 2010; 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.