Luke Depner, OTR/L

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

384046 Issued in OR

Practice address

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285

Phone

(503) 292-0765

NPI assigned

Mar 6, 2017

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Progressive Rehabilitation Associates LLCGroup PAC ID 3476547258, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Progressive Rehabilitation Associates LLC

  • Clinic/Center
  • Portland, OR
  • NPI 1790760908
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1942740246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SE 33RD PL",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 S MACADAM AVE STE 90",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394285",
            "telephone_number": "503-292-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPNER",
        "first_name": "LUKE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OR",
            "license": "384046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Depaul Treatment Centers Inc.
• Depaul Treatment Centers, Inc.
• Depaul Youth and Family
• Juliana Depietro
• David Gerard Depinto, D.O
• Heather Grace Depolitte, RN
• David Allen Deppeler, PT
• Depth Brainspotting
• Lauren Ann Dequasie
• Erin Deramus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.

Verify at the official NPI Registry.