NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC (NPI# 1467995084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467995084 |
| Entity Type | Organization |
| Organization Name | NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC |
| Other Organization Name | MEDFORD CHILDREN'S THERAPY |
| Practice Address |
400 Crater Lake Ave Medford OR 97504-6808 |
| Mailing Address |
113 N Elm St Canby OR 97013 |
| Practice Telephone | 5416136505 |
| Practice Fax Number | 5417709212 |
| Mailing Telephone | 5032638903 |
| Mailing Fax Number | 5032668632 |
| Enumeration Date | 2016-11-30 |
| 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 | Y |
| Parent Organization Name | NEUROTHERAPEUTIC PEDIATRIC THERAPIES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 | 500718434 | 05 |
| Other Name | Type Code |
|---|---|
| Medford Children's Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588011 | Neurotherapeutic Pediatric Therapies, Inc | Counselor | 14839 Se 82nd Dr, Clackamas, OR 97015-7624 | 2020-05-06 |
| 1396288767 | Neurotherapeutic Pediatric Therapies, Inc | Speech-Language Pathologist | 27501 Sw 95th Ave Ste 960, Wilsonville, OR 97070-7713 | 2016-12-02 |
| 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 |
| 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 |
400 CRATER LAKE AVE |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396898441 | Johanna Lydia Buck | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2007-01-20 |
| 1346876257 | Kelly Marie Barlow | Registered Nurse | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2020-03-23 |
| 1568971315 | Rebecca Meador | Occupational Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-09-25 |
| 1821526914 | Sound Music Therapy, LLC. | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-06-01 |
| 1689105454 | Yvette Provosty | Physical Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2017-03-23 |
| 1417346511 | Audrie Kingzett | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2015-01-13 |
| 1285060517 | Heather Chalmers Faith | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-09-18 |
| 1073950036 | Aimee A Disharoon | Midwife | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2013-05-31 |
| 1659629137 | Wise Women Care Associates | Midwife, Lay | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2012-08-15 |
| 1891055034 | Brenda Marie Walleman | Music Therapist | 400 Crater Lake Ave, Medford, OR 97504-6808 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1962045302 | Margaret Hyland | Occupational Therapist | 18 Lexington Dr, Medford, NJ 08055-8546 | 2019-10-17 |
| 1891258117 | Jennifer Marie Buckley | Occupational Therapist | 3620 Mystic Valley Pkwy Apt E708, Medford, MA 02155-5745 | 2019-04-12 |
| 1497253116 | Jennifer Wellman | Occupational Therapist | 12 Platinum Ct Ste B, Medford, NY 11763-2247 | 2018-01-28 |
| 1316492440 | Heidi J Wills | Occupational Therapist | 724 S Central Ave Ste 107, Medford, OR 97501-7808 | 2016-08-18 |
| 1750736989 | Ivonne Barrios | Occupational Therapist | 7 Georgia Pine Pl, Medford, NY 11763-4107 | 2016-04-25 |
| 1134587595 | Katelyn Campbell | Occupational Therapist | 16 Sanger St Unit 3, Medford, MA 02155-6639 | 2016-02-01 |
| 1568832327 | Vanessa Tocco | Occupational Therapist | 3920 Mystic Valley Pkwy Apt 123, Medford, MA 02155-6900 | 2015-10-05 |
| 1457733420 | Robin Levy | Occupational Therapist | 41 Pitcher Ave, Medford, MA 02155-2106 | 2015-06-25 |
| 1194127589 | Kyle Lynn Rossiter | Occupational Therapist | 2 Townsend Ct, Medford, NJ 08055-9118 | 2014-09-17 |
| 1831510692 | Tanya Loraine Evangelho | Occupational Therapist | 691 Murphy Rd, Suite 236, Accent Care Home Health, Medford, OR 97504 | 2013-12-21 |
| Find all providers in MEDFORD | ||||
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.