Active NPI
Shaili R Parekh, QMHA
- Rehabilitation Practitioner
- Gresham, OR
National Provider Identifier
1861214546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770 - Phone
- (503) 740-1971
- Fax
- (503) 771-2436
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
1217 NE Burnside Rd Ste 701
Gresham, OR 97030-5770
Mailing address
10117 SE Sunnyside Rd # F1217
Clackamas, OR 97015-7708
Phone (503) 740-1971
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1861214546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10117 SE SUNNYSIDE RD # F1217",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970157708",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD STE 701",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970305770",
"telephone_number": "503-740-1971",
"fax_number": "503-771-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAREKH",
"first_name": "SHAILI",
"middle_name": "R",
"credential": "QMHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.