SUPPLEMENTAL HEALTHCARE (NPI# 1619377785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619377785 |
| Entity Type | Organization |
| Organization Name | SUPPLEMENTAL HEALTHCARE |
| Practice Address |
7320 Sw Hunziker St Ste 203 Tigard OR 97223-2301 |
| Mailing Address |
7320 Sw Hunziker, Suite 203 Tigard OR 97223-2301 |
| Practice Telephone | 8883171019 |
| Mailing Telephone | 8883171019 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2014-08-26 |
| Authorized Official Name | DEVYN HALL (COTA) |
| Authorized Official Telephone | 5209757573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 314621 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 314621 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1477981199 | Supplemental Healthcare | Nursing Facility/Intermediate Care Facility | 200 Tulip Tree Ct, Easley, SC 29642-7600 | 2013-10-15 |
| 1376837922 | Supplemental Healthcare | Case Management | 4620 N Braeswood Blvd Apt 52, Houston, TX 77096-2847 | 2011-05-31 |
| 1871899302 | Supplemental Healthcare | Skilled Nursing Facility | 9029 E Mississippi Ave Apt R302, Denver, CO 80247-6867 | 2011-01-31 |
| 1376788166 | Supplemental Healthcare | Rehabilitation Hospital | 333 Gellert Blvd Ste 150, Daly City, CA 94015-2690 | 2008-12-08 |
| 1144409640 | Supplemental Healthcare | Home Health | 6033 Brookgreen Ct, Spartanburg, SC 29301-3547 | 2007-10-31 |
| 1982745022 | Supplemental Healthcare | General Acute Care Hospital | 3040 Post Oak Blvd, Suite 1200, Houston, TX 77056-6500 | 2007-02-10 |
| 1427489723 | Supplemental Healthcare | Local Education Agency (LEA) | 551 5th Ave, Suite 1923, New York, NY 10176-0001 | 2013-12-11 |
| 1407281140 | Supplemental Healthcare | General Acute Care Hospital | 6500 Rockside Rd, Ste. 240, Independence, OH 44131-2368 | 2013-09-12 |
| 1902145766 | Supplemental Healthcare | Rehabilitation Hospital | 4720 E Cotton Gin Loop, Phoenix, AZ 85040-4823 | 2013-02-13 |
| Street Address |
7320 SW HUNZIKER ST STE 203 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316158934 | Suzanne Lamont | Physical Therapy Assistant | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2007-05-25 |
| 1629559729 | James Raymond Huffman | Speech-Language Pathologist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223 | 2018-08-27 |
| 1861913766 | Mary Jo Ford | Occupational Therapist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2017-06-29 |
| 1184144628 | Cynthia Rivera Castaneda | Specialist/Technologist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2017-06-26 |
| 1841679396 | Michael D Sheahan | Occupational Therapist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2015-05-28 |
| 1780076075 | Celene Cross | Speech-Language Pathologist | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2015-02-24 |
| 1790118495 | Albert Frederick Vantine | Physical Therapy Assistant | 7320 Sw Hunziker St Ste 203, Tigard, OR 97223-2301 | 2013-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811295504 | Debra Rinard | Occupational Therapy Assistant | 7320 Sw Hunziker St, 203, Tigard, OR 97223-8283 | 2011-03-04 |
| 1679770572 | Brian Donald Hagan | Occupational Therapy Assistant | 14145 Sw 105th Ave, Tigard, OR 97224-4808 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204509 | Uchendu Ezra Iwuanyanwu | Occupational Therapy Assistant | 3550 S Bond Ave, Portland, OR 97239-4507 | 2020-11-01 |
| 1891307807 | Leslie Elizabeth Talarico | Occupational Therapy Assistant | 3223 Se 118th Ave, Portland, OR 97266-1607 | 2020-08-20 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1497398523 | Meghan Link | Occupational Therapy Assistant | 13333 Sw 68th Pkwy, Portland, OR 97223-9196 | 2019-10-22 |
| 1730739574 | Lindsay B Jordan | Occupational Therapy Assistant | 3417 Ne Marine Dr # Hb-02, Portland, OR 97211-2121 | 2019-09-13 |
| 1629622956 | Melanie Benson | Occupational Therapy Assistant | 290 N 3rd Ct Apt 4, Coos Bay, OR 97420-2465 | 2019-07-25 |
| 1871159301 | Kristen Bennett | Occupational Therapy Assistant | 1000 Se Stephens St, Roseburg, OR 97470-4818 | 2019-05-09 |
| 1851859748 | Vince Diamzon | Occupational Therapy Assistant | 70 Sw Century Dr Ste 100-107, Bend, OR 97702-3557 | 2019-03-09 |
| 1447722038 | Tabitha Edwards | Occupational Therapy Assistant | 1605 Oak St Se Apt A105, Albany, OR 97322-4702 | 2018-12-20 |
| 1497225254 | Rodney James Dean | Occupational Therapy Assistant | 66642 E Bay Rd Spc 76, North Bend, OR 97459-8290 | 2018-12-04 |
| Find all providers with the same taxonomy | ||||
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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.