NICOLE ELLEDGE OTR
NPI 1003075417
Occupational Therapist in Lake Oswego, OR

Active since June 02, 2008Accepts Medicare Assignment
3900 KRUSE WAY PL, LAKE OSWEGO, OR 97035(503) 607-0566 Get Directions Write a Review

NPPES record last updated: May 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Elledge Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE ELLEDGE OTR (NPI 1003075417) is an individual occupational therapist in Lake Oswego, Oregon, licensed in Oregon (1060547) and active in the NPI registry since June 2008. She maintains a secondary practice location in Newberg and is a graduate of Other (2002).

NPPES Registry Identity

NPI1003075417
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE ELLEDGECredential: OTR
Location Address3900 KRUSE WAY PLLake Oswego, OR 97035-2512
Mailing Address23532 Sw Stonehaven StSherwood, OR 97140-7076 · (971) 732-2991
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 2, 2008
Last NPPES UpdateMay 6, 2022
NPPES CertifiedMay 6, 2022
NPI 1003075417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in OR · 1060547
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
3900 KRUSE WAY PL, Lake Oswego, OR 97035

Secondary Practice Location 1

Location 11900 Fulton StNewberg, OR 97132-1806 · Phone (503) 538-2108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole Elledge Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820241805
PECOS Enrollment IDI20121227000471

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
2,551 services52 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
486 services43 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
152 services35 patients
Evaluation for occupational therapy, typically 45 minutes 97166
An evaluation for occupational therapy is a comprehensive assessment of your physical and mental abilities. In this 45-minute session, the therapist observes your skills and challenges in performing daily tasks. The goal is to identify ways to improve your independence and quality of life.
44 services37 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
3900 KRUSE WAY PL
LAKE OSWEGO, OR 97035
Physical Therapist
3900 KRUSE WAY PL
LAKE OSWEGO, OR 97035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Elledge's NPI number?

The NPI number for Nicole Elledge is 1003075417. It was assigned to this individual provider in the NPPES registry on June 2, 2008.

Where is Nicole Elledge located?

Nicole Elledge practices at 3900 Kruse Way Pl, Lake Oswego, OR 97035. The listed phone number is (503) 607-0566.

What is Nicole Elledge's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicole Elledge enrolled in Medicare?

Yes. Nicole Elledge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Elledge accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Nicole Elledge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Elledge was last updated on May 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.