Active NPI
Bethannie Nicole Lopez
- Pediatric Occupational Therapist
- Eugene, OR
National Provider Identifier
1912859513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 546669
- Practice address
- 488 E 11TH Ave Ste LL2
Eugene, OR 97401-3601 - Phone
- (541) 359-1009
- NPI assigned
- Feb 14, 2026
- Last updated
- Feb 18, 2026
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 546669 | OR | Primary |
Addresses
Primary practice location
488 E 11TH Ave Ste LL2
Eugene, OR 97401-3601
Mailing address
1485 John Day Dr Unit 204
Coburg, OR 97408-6021
Phone (541) 359-1009
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
488 E 11TH Ave
LL2
Eugene, OR 97405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 546669 | OR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Pediatric Therapy, LLC | Pediatrics | Current | Accepting new patients |
Locations
488 E 11th Ave
Ste LL2
Eugene, OR 97401
Phone (541) 359-1009
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1912859513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1485 JOHN DAY DR UNIT 204",
"city": "COBURG",
"state": "OR",
"postal_code": "974086021",
"telephone_number": "541-359-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 E 11TH AVE STE LL2",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013601",
"telephone_number": "541-359-1009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BETHANNIE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-14",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "546669",
"primary": true
}
],
"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 Feb 18, 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.