CLAYTON ROSS RICKETT (NPI# 1215389135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215389135 |
| Entity Type | Individual |
| Full Name | CLAYTON ROSS RICKETT |
| Credential | OTR/L |
| Practice Address |
3320 Se Holgate Blvd Portland OR 97202-3459 |
| Mailing Address |
1215 Ne 76th Ave Portland OR 97213-6134 |
| Practice Telephone | 5032311411 |
| Mailing Telephone | 9728253561 |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2016-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 356396 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3320 SE HOLGATE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97202-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558427955 | Friendship Health Center | Skilled Nursing Facility | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2006-12-29 |
| 1629627997 | Ben Carlstrom | Speech-Language Pathologist | 3320 Se Holgate Blvd, Portland, OR 97202 | 2019-09-09 |
| 1821578493 | Victoria Loudermilk | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-08-14 |
| 1417452210 | Tasha Louise Danner | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2018-03-26 |
| 1346699113 | Heather Boisjolie | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2016-06-12 |
| 1114304235 | Marisa Steinkamp | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2015-04-27 |
| 1871917310 | Tracy Flynn | Technician | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-02-04 |
| 1760805451 | Mackenzie Schack | Specialist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-01-30 |
| 1306269113 | Elissa Andresen | Physical Therapy Assistant | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2014-01-29 |
| 1649502832 | Stephanie Jane Grosul | Occupational Therapist | 3320 Se Holgate Blvd, Portland, OR 97202-3459 | 2010-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
| 1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
| 1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
| 1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
| 1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
| 1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
| 1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
| 1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
| 1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
| 1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
| Find all providers in zip 97202 | ||||
| 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 |
| 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.