Active NPI
Joannita Sharmae Reitsma, OTRL, QMHP-R
- Occupational Therapist
- Hillsboro, OR
National Provider Identifier
1942419338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1067581
- Practice address
- 5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551 - Phone
- (503) 747-5359
- Fax
- (503) 266-8632
- NPI assigned
- May 22, 2007
- Last updated
- Nov 4, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Occupational Therapist | 225X00000X | OT00003790 | WA | |
| Occupational Therapist | 225X00000X | 1067581 | OR | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT 8484 | CA |
Addresses
Primary practice location
5289 NE Elam Young Pkwy Ste 140
Hillsboro, OR 97124-7551
Mailing address
113 N Elm St
Canby, OR 97013-3519
Phone (503) 263-8903
Other practice location 1
2274 SW 2nd St Ste D
McMinnville, OR 97128-5597
Phone (971) 261-2159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1067581 | OR | MD | Occupational Therapist |
| OT00003790 | WA | MD | Occupational Therapist |
| OT 8484 | CA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1942419338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 N ELM ST",
"city": "CANBY",
"state": "OR",
"postal_code": "970133519",
"telephone_number": "503-263-8903",
"fax_number": "503-266-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5289 NE ELAM YOUNG PKWY STE 140",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971247551",
"telephone_number": "503-747-5359",
"fax_number": "503-266-8632"
}
],
"practiceLocations": [
{
"address_1": "2274 SW 2nd St Ste D",
"address_purpose": "LOCATION",
"city": "McMinnville",
"state": "OR",
"postal_code": "971285597",
"country_code": "US",
"telephone_number": "971-261-2159",
"fax_number": "503-266-8632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITSMA",
"first_name": "JOANNITA",
"middle_name": "SHARMAE",
"name_prefix": "Ms.",
"credential": "OTRL, QMHP-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00003790",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "1067581",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "OT 8484",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.