IndividualActive
Kristin Johnson, COTA
NPI 1811260466 · Occupational Therapy Assistant · Beaverton, OR
Provider details
- NPI number
- 1811260466
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 1045937 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
14645 Sw Farmington Rd.
Beaverton, OR 97007
Phone: (503) 718-5355
Fax: (971) 206-5203
Street-level locationGet directions
Mailing address
4560 Se International Way
Milwaukie, OR 97222
Registry dates
- Enumerated
- 2012-02-13
- Last updated
- 2013-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.