Holistic Community Therapy Llc - Medicare in Portland, OR

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Holistic Community Therapy Llc is a medicare enrolled "Community/behavioral Health" provider in Portland, Oregon. Their current practice location is 4339 Ne 115th Ave, Portland, Oregon. You can reach out to their office (for appointments etc.) via phone at (720) 297-4572.

Holistic Community Therapy Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Holistic Community Therapy Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073179776.

Contact Information

Holistic Community Therapy Llc
4339 Ne 115th Ave,
Portland, OR 97220-1409
(720) 297-4572
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameHolistic Community Therapy Llc
TypeFacility
SpecialityCommunity/behavioral Health
Location4339 Ne 115th Ave, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073179776
  • Provider Enumeration Date: 05/17/2019
  • Last Update Date: 08/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0547692618
  • Enrollment ID: O20191111001442

Medical Identifiers

Medical identifiers for Holistic Community Therapy Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073179776NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XN1300XOccupational Therapist - Neurorehabilitation (* (Not Available))Secondary
251E00000XHome Health (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Holistic Community Therapy Llc acts as a billing entity for following providers:
Provider NameJulie K Allen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1477657567
PECOS PAC ID: 5092797456
Enrollment ID: I20080111000265
Provider NameElizabeth M Martin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790225712
PECOS PAC ID: 1456783521
Enrollment ID: I20191111001790
Provider NameChristine S Kim
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1770258402
PECOS PAC ID: 7315343902
Enrollment ID: I20210907003062
Provider NameKiley Kathleen Petencin
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1639810823
PECOS PAC ID: 3971968769
Enrollment ID: I20230501001390
Provider NameTiffany Tienyih Tung
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1659085173
PECOS PAC ID: 1052773611
Enrollment ID: I20230814001954
Provider NameBridget Wells
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1376329185
PECOS PAC ID: 9436695145
Enrollment ID: I20240718000677

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holistic Community Therapy Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holistic Community Therapy Llc
4339 Ne 115th Ave,
Portland, OR 97220-1409

Ph: (503) 882-0988		Holistic Community Therapy Llc
4339 Ne 115th Ave,
Portland, OR 97220-1409

Ph: (720) 297-4572

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.