SIA KRUSS (NPI# 1174032411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174032411 |
| Entity Type | Individual |
| Full Name | SIA KRUSS |
| Practice Address |
6010 Sw Shattuck Rd Portland OR 97221-1043 |
| Mailing Address |
12425 Nw Barnes Rd Apt 43 Portland OR 97229-6091 |
| Practice Telephone | 5032468811 |
| Mailing Telephone | 9715632629 |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 391631 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6010 SW SHATTUCK RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97221-1043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942312905 | Marquis Companies I, Inc | Skilled Nursing Facility | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2006-08-31 |
| 1770199283 | Rebecca Cheri Slape | Physical Therapist | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2020-09-20 |
| 1578036257 | Wynne Steinbacher | Occupational Therapy Assistant | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2019-01-06 |
| 1811410988 | Emily Mccall | Occupational Therapist | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2017-07-20 |
| 1427504307 | Jane Obermiller Sparks | Physical Therapy Assistant | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2016-08-30 |
| 1154738391 | Michael Irvin | Skilled Nursing Facility | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2014-07-21 |
| 1104231208 | Sarah Dunn | Occupational Therapist | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2014-06-26 |
| 1215349923 | Angela Zielinski | Physical Therapist | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2014-05-29 |
| 1023431848 | Derrick Bailey | Occupational Therapy Assistant | 6010 Sw Shattuck Rd, Portland, OR 97221-1043 | 2014-01-30 |
| 1841426046 | Catherine Margaret Merrick | Occupational Therapist | 6010 Sw Shattuck Rd, Portland, OR 97221 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1275071599 | Kayla Hoskins | Social Worker | 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 | 2017-02-07 |
| 1467821520 | Tam Nguyen | Pharmacist | 5431 Sw Beaverton Hillsdale, Portland, OR 97221 | 2015-09-18 |
| 1124494786 | Laine Towell | Psychologist | 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 | 2015-08-18 |
| 1376936633 | Patricia A. Lolich-beyer | Counselor | 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 | 2015-03-11 |
| 1134468374 | Alexandra Scamarone | Acupuncturist | 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 | 2013-02-07 |
| 1508118316 | Nichole C. Marks | Speech-Language Pathologist | 6125 Sw Boundary, Portland, OR 97221 | 2012-10-04 |
| 1649529538 | Navkiran Kaur Singh | Counselor | 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 | 2012-09-06 |
| 1306124276 | Alyssa C. Brin | Counselor | 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 | 2011-07-26 |
| Find all providers in zip 97221 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685258 | Dakota Stewart | Occupational Therapist | 12765 Nw Lovejoy St, Portland, OR 97229-4644 | 2020-10-07 |
| 1124632674 | Samantha M Mack | Occupational Therapist | 24 Hillcrest Cir, Portland, ME 04103-1443 | 2020-09-02 |
| 1639782386 | Marie Trevisan | Occupational Therapist | 4110 Ne Tillamook St Apt 307, Portland, OR 97212-5359 | 2020-08-24 |
| 1649899568 | Suzanna Braverman | Occupational Therapist | Ohsu Center for Health and Healing Rehabilitation, 3303 Sw Bond Ave, Portland, OR 97239-3098 | 2020-04-10 |
| 1265064562 | Paul Jungwirth | Occupational Therapist | 11 Russell St Apt 3, Portland, ME 04102-3161 | 2020-02-05 |
| 1144850074 | Keirstalyn Wade | Occupational Therapist | 5335 Ne Irving St, Portland, OR 97213-3157 | 2020-01-20 |
| 1083254973 | Brina Kelly | Occupational Therapist | 10 Pleasant Ave, Portland, ME 04103-3218 | 2020-01-08 |
| 1144889726 | Jessica Campbell | Occupational Therapist | 587 Riverside St, Portland, ME 04103-1289 | 2019-06-07 |
| 1366906711 | Julia Integlia Welter | Occupational Therapist | 12 Saint Lawrence St Unit 1, Portland, ME 04101-4316 | 2019-01-29 |
| 1710453840 | Amanda Sisco | Occupational Therapist | 4138 Se 76th Ave, Portland, OR 97206-3350 | 2018-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.