Individual provider Active NPI

Steven Joseph Kempler, OTR/L

  • Pediatric Occupational Therapist
  • Woodburn, OR
National Provider Identifier
1962936625
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
379375 Issued in OR
Practice address
2213 Country Club Rd
Woodburn, OR 97071-2811
Phone
(503) 982-4200
Fax
(503) 981-2323
NPI assigned
Apr 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 379375 OR Primary

Addresses

Primary practice location

2213 Country Club Rd
Woodburn, OR 97071-2811

Mailing address

4601 Eagleridge PL Ste 140
Pueblo, CO 81008-4101

Other practice location 1

8995 SW Miley Rd Ste 109
Wilsonville, OR 97070-5485
Phone (503) 694-8366

Other identifiers 1

IdentifierTypeStateIssuer
500761822MedicaidOR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
379375ORMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanders Hand Therapy, Inc CurrentSince Jul 2, 2020 Accepting new patients
Sanders Hand Therapy, Inc Pediatrics CurrentSince Nov 15, 2020 Accepting new patients
Sanders Hand Therapy, Inc. Pediatrics CurrentSince Jul 2, 2020 Accepting new patients
Spirited Kids Current Accepting new patients
Pueblo Pediatric Therapy Center, LLC Pediatrics Past Accepting new patients

Locations

8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070
Phone (503) 694-8134

2217 Country Club Rd
Woodburn, OR 97071
Phone (503) 318-3927

2213 Country Club Rd
Woodburn, OR 97071
Phone (503) 982-4200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1962936625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 EAGLERIDGE PL STE 140",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810084101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 COUNTRY CLUB RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712811",
            "telephone_number": "503-982-4200",
            "fax_number": "503-981-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8995 SW Miley Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970705485",
            "country_code": "US",
            "telephone_number": "503-694-8366",
            "fax_number": "503-694-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMPLER",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "379375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500761822",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.