Individual provider Active NPI

Karenina Fenix, OTR/L

  • Occupational Therapist
  • Hillsboro, OR
National Provider Identifier
1962939330
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
303034 Issued in OR
Practice address
5825 NE Ray Cir
Hillsboro, OR 97124-6436
Phone
(503) 614-1428
NPI assigned
May 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056010110 IL
Occupational Therapist 225X00000X 303034 OR Primary

Addresses

Primary practice location

5825 NE Ray Cir
Hillsboro, OR 97124-6436

Mailing address

1125 Avenue a
Seaside, OR 97138-7603
Phone (708) 465-5011

Other practice location 1

14200 McCarthy Rd
Lemont, IL 60439-9393
Phone (630) 863-7881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240402003168 OR Practitioner - Occupational Therapist in Private Practice 8325486970 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056010110ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Sep 20, 2024 Accepting new patients
Home Bound Healthcare Outpatient Therapy Services LLC Past Accepting new patients

Locations

1010 NE Purcell Blvd
Bend, OR 97701
Phone (541) 318-6042

4452 Lancaster Dr NE
Salem, OR 97305
Phone (503) 390-3216

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

Organizations & group practices 2

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": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1962939330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 AVENUE A",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387603",
            "telephone_number": "708-465-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 NE RAY CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246436",
            "telephone_number": "503-614-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14200 McCarthy Rd",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604399393",
            "country_code": "US",
            "telephone_number": "630-863-7881",
            "fax_number": "630-863-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENIX",
        "first_name": "KARENINA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010110",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "303034",
            "primary": true
        }
    ],
    "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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.