WHOLE CIRCLE PEDIATRIC THERAPY, INC (NPI# 1649882549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649882549 |
| Entity Type | Organization |
| Organization Name | WHOLE CIRCLE PEDIATRIC THERAPY, INC |
| Practice Address |
5220 Ne Sacramento St Portland OR 97213-2666 |
| Mailing Address |
4548 Ne Holman St Portland OR 97218-1349 |
| Practice Telephone | 5035027515 |
| Mailing Telephone | 5039971309 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | DIEDRA MARIE PINE (OWNER/OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 5039971309 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1942321104 | 01 | |
| NPI | 1235385139 | 01 | |
| OR | 182780 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6517 Ne Sandy Blvd, Portland, OR 972134569 | 5035027515 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WHOLE CIRCLE PEDIATRIC THERAPY, INC. | 4548 Ne Holman St, Portland, OR 97218 |
| Street Address |
5220 NE SACRAMENTO ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912037110 | Michaela A Kistler | Occupational Therapist | 5220 Ne Sacramento St, Portland, OR 97213-2666 | 2007-03-06 |
| 1659987147 | Destiny Tama-marie Kuehl | Occupational Therapist | 5220 Ne Sacramento St, Portland, OR 97213-2666 | 2020-09-20 |
| 1841854163 | Pediatric Occupational Therapy Solutions, LLC | Occupational Therapist | 5220 Ne Sacramento St, Portland, OR 97213-2666 | 2019-04-23 |
| 1306284542 | Groundplay Therapy Works, LLC | Occupational Therapist | 5220 Ne Sacramento St, Portland, OR 97213-2666 | 2013-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220321 | Jessica Dawn Young | Occupational Therapist | 5200 S Macadam Ave, Portland, OR 97239-6103 | 2020-09-22 |
| 1003422585 | Steps 2 Grow LLC | Occupational Therapist | 2870 Nw Cornell Rd, Portland, OR 97210-2421 | 2020-09-19 |
| 1912541954 | Mary Alison O'connell | Occupational Therapist | 3226 Sw Mitchell Ct, Portland, OR 97239-1261 | 2019-11-02 |
| 1063966463 | Cara Lee | Occupational Therapist | 1828 Sw 18th Ave, Apt 9, Portland, OR 97201-2598 | 2016-08-15 |
| 1902265218 | Suzanne Ciccomancini | Occupational Therapist | 80 Fall Brook St, Portland, ME 04103-4225 | 2016-02-15 |
| 1235509647 | Nicholas Horton | Occupational Therapist | 737 Ne Schuyler St, Portland, OR 97212-3924 | 2015-09-28 |
| 1336555119 | Austen Lincoln | Occupational Therapist | 4407 Sw Stephenson St, Portland, OR 97219-7107 | 2014-07-01 |
| 1154741221 | Ashley York | Occupational Therapist | 125 Presumpscot Street, Portland, ME 04103 | 2014-04-16 |
| 1851615751 | Advanced Pediatric Therapies | Occupational Therapist | 4444 Sw Multnomah Blvd, Portland, OR 97219-3558 | 2010-03-22 |
| 1992995807 | Sheryl Ann Riley | Occupational Therapist | 5115 Se 38th Ave, Portland, OR 97202-4203 | 2007-07-26 |
| Find all providers in PORTLAND | ||||
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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.