ANNE SPILIOTIS OT
NPI 1831308477
Occupational Therapist in Gresham, OR

NPI Status: Active since May 21, 2007

Contact Information

24076 SE STARK ST
SUITE 200
GRESHAM, OR
ZIP 97030
Phone: (503) 491-1666

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  • Individual
  • Female
  • Years of Experience 39
  • Occupational Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About ANNE SPILIOTIS

This page provides the complete NPI Profile along with additional information for Anne Spiliotis, a provider established in Gresham, Oregon with a medical specialization in Occupational Therapist and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1831308477 assigned on May 2007. The practitioner's primary taxonomy code is 225X00000X with license number 970955 (OR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1831308477
Provider Name
ANNE SPILIOTIS OT
Gender
Female
Entity Type
Individual
Location Address
24076 SE STARK ST SUITE 200 GRESHAM, OR 97030
Location Phone
(503) 491-1666
Mailing Address
7547 NE SACRAMENTO ST PORTLAND, OR 97213
Mailing Phone
(503) 298-1967
Medical School Name
OTHER
Graduation Year
1987
Is Sole Proprietor?
Yes
Enumeration Date
05-21-2007
Last Update Date
11-14-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
970955
License State
OR
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
R198165MEDICARE PIN (08)OR 

Medicare Participation & PECOS Enrollment Status

Anne Spiliotis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3577715986

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20121211000538

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Therapy procedure using functional activities

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.

This service was performed 168 times for 11 patients

Reviews for ANNE SPILIOTIS OT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1831308477, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
3
Doubled → 6
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 6 + 1 + 6 + 0 + 1 + 6 + 4 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1831308477.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Pharmacy (Community/Retail Pharmacy)
24076 SE STARK ST, SUITE 100
GRESHAM, OR 97030
Physical Therapist (Orthopedic)
24076 SE STARK ST
GRESHAM, OR 97030
Occupational Therapist (Hand)
24076 SE STARK ST, STE 200
GRESHAM, OR 97030
Physician Assistant (Surgical)
24076 SE STARK ST, SUITE 110
GRESHAM, OR 97030
Specialist
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Specialist
24076 SE STARK ST, SUITE 230
GRESHAM, OR 97030
Specialist/Technologist (Athletic Trainer)
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Occupational Therapist (Hand)
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Occupational Therapist (Hand)
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Specialist
24076 SE STARK ST, SUITE 310
GRESHAM, OR 97030
Physical Therapist
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Podiatrist (Foot & Ankle Surgery)
24076 SE STARK ST, SUITE 110
GRESHAM, OR 97030
Physician Assistant
24076 SE STARK ST, SUITE 110
GRESHAM, OR 97030
Physical Therapist
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Clinic/Center (Physical Therapy)
24076 SE STARK ST, STE. 200
GRESHAM, OR 97030
Contractor
24076 SE STARK ST
GRESHAM, OR 97030
Physical Therapist
24076 SE STARK ST
GRESHAM, OR 97030
Occupational Therapist
24076 SE STARK ST, SUITE 200
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831308477, enumerated as an "individual" on May 21, 2007.

The provider is located at 24076 SE STARK ST SUITE 200 GRESHAM, OR 97030 and the phone number is (503) 491-1666.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.