MRS. KELLY JEAN SQUIRE-HAMBLET MSOTR/L
NPI 1003249046
Occupational Therapist in North Bend, OR

Active since August 13, 2013
1890 WAITE ST STE 1, NORTH BEND, OR 97459(541) 756-6232 Get Directions Write a Review

NPPES record last updated: October 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kelly Jean Squire-hamblet Msotr/l NPPES

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

MRS. KELLY JEAN SQUIRE-HAMBLET MSOTR/L (NPI 1003249046) is an individual occupational therapist in North Bend, Oregon, licensed in Oregon (313565) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1003249046
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. KELLY JEAN SQUIRE-HAMBLETCredential: MSOTR/L
Location Address1890 WAITE ST STE 1North Bend, OR 97459-1229
Mailing Address1890 Waite St Ste 1North Bend, OR 97459-1229 · (541) 756-6232
Sole ProprietorYes
Enumeration DateAugust 13, 2013
Last NPPES UpdateOctober 3, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1003249046 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 · 313565
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.
1890 WAITE ST STE 1, North Bend, OR 97459

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly Jean Squire-hamblet Msotr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Squire-hamblet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1890 WAITE ST, SUITE 1
North Bend, OR 97459
  • Reassigned Medicare billing, Oregon enrollment
  • 35 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Behavior Technician
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Nurse Practitioner (Women's Health)
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Community Health Worker
1890 WAITE ST STE 1
NORTH BEND, OR 97459
Behavior Technician
1890 WAITE ST STE 1
NORTH BEND, OR 97459

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 Kelly Squire-hamblet's NPI number?

The NPI number for Kelly Squire-hamblet is 1003249046. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Kelly Squire-hamblet located?

Kelly Squire-hamblet practices at 1890 Waite St Ste 1, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Kelly Squire-hamblet's specialty?

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

Is Kelly Squire-hamblet enrolled in Medicare?

Yes. Kelly Squire-hamblet is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Squire-hamblet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Squire-hamblet reassigns Medicare benefits to Waterfall Clinic Incorporated (North Bend, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Squire-hamblet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Squire-hamblet accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kelly Squire-hamblet 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 Kelly Squire-hamblet was last updated on October 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.