OrganizationActive
Groundplay Therapy Works, LLC
NPI 1306284542 · Pediatric Occupational Therapist · Portland, OR
Provider details
- NPI number
- 1306284542
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michaela Kistler, Owner(971) 888-5265
- License
- 1054642 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2029 Ne Cesar E Chavez Blvd
Portland, OR 97212-5305
Phone: (971) 888-5265
Fax: (971) 888-5266
Approximate (ZIP-level) locationGet directions
Mailing address
2029 Ne Cesar E Chavez Blvd
Portland, OR 97212-5305
Registry dates
- Enumerated
- 2013-06-10
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.