NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC (NPI# 1396288767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396288767 |
| Entity Type | Organization |
| Organization Name | NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC |
| Practice Address |
27501 Sw 95th Ave Ste 960 Wilsonville OR 97070-7713 |
| Mailing Address |
113 N Elm St Canby OR 97013 |
| Practice Telephone | 5036578903 |
| Practice Fax Number | 5036504302 |
| Mailing Telephone | 5032638903 |
| Mailing Fax Number | 5032668632 |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MRS. KAREN MARIE BRELJE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5032638903 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500707715 | 05 | |
| OR | 500718431 | 05 | |
| WA | WA ST MEDICAID FOR OT | 7684004 | 01 |
| WA | WA ST MEDICAID FOR PT | 7139454 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588011 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 14839 Se 82nd Dr, Clackamas, OR 97015-7624 | 2020-05-06 |
| 1396381547 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 516 High St, Oregon City, OR 97045-2239 | 2019-11-22 |
| 1780230821 | Neurotherapeutic Pediatric Therapies, Inc | Occupational Therapist | 113 N Elm St, Canby, OR 97013 | 2019-08-14 |
| 1225571847 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 2274 Sw 2nd St Ste D, Mcminnville, OR 97128-5597 | 2016-11-30 |
| 1467995084 | Neurotherapeutic Pediatric Therapies, Inc | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2016-11-30 |
| 1972046597 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 5289 Ne Elam Young Pkwy Ste 140, Hillsboro, OR 97124-7551 | 2016-11-30 |
| 1932642550 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 10130 Ne Skidmore St, Portland, OR 97220-3570 | 2016-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC. | 113 N Elm St, Canby, OR 97013 |
| Oregon Corporations, Companies and Business Names | NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC. | 113 N Elm Street, Canby, OR 97013 |
| Street Address |
27501 SW 95TH AVE STE 960 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| 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 |
|---|---|---|---|---|
| 1407365331 | Benchmark Physical Therapy of Or, LLC | Occupational Therapist | 8642 Sw Main St Ste 130, Wilsonville, OR 97070-6585 | 2017-09-22 |
| 1588053771 | Adam Abraham | Occupational Therapist | 69117 Sw Parkway Street, Wilsonville, OR 97070-9697 | 2015-01-12 |
| 1710149786 | Shannon Renae Wakem | Occupational Therapist | 8995 Sw Miley Rd Ste 109, Wilsonville, OR 97070-5485 | 2008-06-30 |
| 1598814881 | April Garrett | Occupational Therapist | 129 Willow Lake Ln, Wilsonville, AL 35186-5407 | 2007-01-09 |
| 1295380947 | Nichelle Renae Meyer | Occupational Therapist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2019-08-08 |
| 1104398239 | Megan Dussault | Occupational Therapist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2018-12-31 |
| 1013488428 | Ismira Still | Occupational Therapist | 30900 Sw Parkway Ave, Wilsonville, OR 97070-7835 | 2018-12-10 |
| 1528552635 | Richard Pollard | Occupational Therapist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2018-06-21 |
| 1447790191 | Rebecca Lauren Reinhardt | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-28 |
| 1821537911 | Catherine Bonde | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-22 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
Please comment or provide details below to improve the information on NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC.
| 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.