Northwest Mobile Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

NORTHWEST MOBILE THERAPY

Practice address

1335 NE 63Rd Ave
Portland, OR 97213-4905

Phone

(971) 219-3656

NPI assigned

Nov 22, 2015

Last updated

Nov 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Nunn, OTNPI 1548512049

Title

OT/Owner

Phone

(971) 219-3656

Specialties & licenses 1

Addresses

Other names 1

• David Nunn Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Nunn

  • Physical Rehabilitation Occupational Therapist
  • Portland, OR
  • NPI 1548512049
  Authorized official Same address or phone

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448150400000",
    "number": "1982078358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134905",
            "telephone_number": "971-219-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NE 63RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972134905",
            "telephone_number": "971-219-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MOBILE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-22",
        "last_updated": "2015-11-22",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OT/OWNER",
        "authorized_official_telephone_number": "971-219-3656",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Nunn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Northwest Minimally Invasive Surgery, LLC
• Northwest Naturopathic Clinc
• Northwest Neuro-Ophthalmology LLC
• Northwest Neurological Specialists PC
• Northwest Newborn Specialists PC
• Northwest Optometric Associates Inc (ABC Vision Source Hillsdale)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2015; 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.