OrganizationActive
An Integrated Life, LLC
NPI 1225435100 · Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1225435100
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Julia Shannon, Ceo(503) 707-6549
- License
- 1074682 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6022 Sw Kelly Ave
Portland, OR 97239-3733
Phone: (608) 347-0667
Street-level locationGet directions
Mailing address
4730 Sw Macadam Ave Ste 201j
Portland, OR 97239-6417
Registry dates
- Enumerated
- 2014-11-20
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.