DEBRA BRODERSEN
NPI 1730502527
Occupational Therapy Assistant in Milwaukie, OR

NPI Status: Active since January 29, 2014

Contact Information

4560 SE INTERNATIONAL WAY
MILWAUKIE, OR
ZIP 97222
Phone: (971) 206-5102
Fax: (971) 206-5211

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  • Individual
  • Female
  • Occupational Therapy Assistant

About DEBRA BRODERSEN

This page provides the complete NPI Profile along with additional information for Debra Brodersen, a provider established in Milwaukie, Oregon with a medical specialization in Occupational Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1730502527 assigned on January 2014. The practitioner's primary taxonomy code is 224Z00000X with license number OTA1878 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1730502527
Provider Name
DEBRA BRODERSEN
Gender
Female
Entity Type
Individual
Location Address
4560 SE INTERNATIONAL WAY MILWAUKIE, OR 97222
Location Phone
(971) 206-5102
Location Fax
(971) 206-5211
Mailing Address
30 HERITAGE ROSE LN SUISUN CITY, CA 94585
Mailing Phone
(707) 422-5669
Is Sole Proprietor?
Yes
Enumeration Date
01-29-2014
Last Update Date
01-29-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapy Assistant

Taxonomy Code
224Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
OTA1878
License State
CA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730502527
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760100454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 0 + 0 + 4 + 5 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1730502527 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053375436MRS. DEEDRA MARIE WEILL OTR/L
Individual
Occupational Therapist4560 SE INTERNATIONAL WAY SUITE 100 CONSONUS HEALTHCARE SERVICES
MILWAUKIE, OR 97222
(971) 206-5200
1134131212MS. TERRI LEE FAGAN RPH, CGP
Individual
Pharmacist4560 SE INTERNATIONAL WAY SUITE 101
MILWAUKIE, OR 97222
(971) 206-5205
1205942232MS. MINOO -- NOWAK R.PH., CGP
Individual
Pharmacist4560 SE INTERNATIONAL WAY SUITE 101
MILWAUKIE, OR 97222
(971) 206-5200
1578664348MRS. MICHELLE DIANE WOOD OCCUPATIONAL THERAPI
Individual
Occupational Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1720179526MRS. MARY ELIZABETH WINGARD OCCUPATIONAL THERAPI
Individual
Occupational Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1164513966 LINDA H WILLIAMS PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1639260532 ROBERT EDWARD MORRIS PT ASSISTANT
Individual
Physical Therapy Assistant4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1548351448 JENNY BRANA OCCUPATIONAL THERAPI
Individual
Occupational Therapist4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
(971) 206-5140
1376634287 DIANE MARIE LIGUORI PHYSICAL THERAPIST A
Individual
Physical Therapy Assistant4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1275624272 MARIE ELAINE BRUCE PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1750472668 THEODORE S RESULTAN PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1316038243 JERRY MICHAELS PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1720179575 JUSTIN DAVID PRESTON PT
Individual
Physical Therapist4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
(971) 206-5140
1548351307 KRISTIN ANNE HERMANSON PT ASSISTANT
Individual
Physical Therapy Assistant4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1063503829 MIKI THOMAS PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
(971) 206-5140
1629169495 ANU CAMPBELL PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1134210990 RICHARD EDWARD DEVINE PHYSICAL THERAPIST
Individual
Physical Therapist4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1497846257 COURTNEY WATKINS PT ASSISTANT
Individual
Physical Therapy Assistant4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
(971) 206-5140
1386735157 KARIE JIL PT ASSISTANT
Individual
Physical Therapy Assistant4560 SE INTERNATIONAL WAY CONSONUS REHAB SERVICES
MILWAUKIE, OR 97222
(971) 206-5140
1184715955 CARLA JEAN SMITH CERTIFIED OTA
Individual
Occupational Therapy Assistant4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222
(971) 206-5140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730502527, enumerated in the NPI registry as an "individual" on January 29, 2014

The provider is located at 4560 Se International Way Milwaukie, Or 97222 and the phone number is (971) 206-5102

The provider's speciality is Occupational Therapy Assistant with taxonomy code 224Z00000X

This NPI record was last updated on January 29, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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