JEREME DAWN NICKELL OT
NPI 1962689935
Occupational Therapist in Portland, OR

Active since January 22, 2008
7204 SW DURHAM RD, SUITE 100, PORTLAND, OR 97224(503) 941-9869(503) 352-5555 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jereme Dawn Nickell Ot NPPES

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

JEREME DAWN NICKELL OT (NPI 1962689935) is an individual occupational therapist in Portland, Oregon, licensed in Oregon (1022423) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1962689935
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJEREME DAWN NICKELLCredential: OT
Location Address7204 SW DURHAM RD, SUITE 100Portland, OR 97224-7574
Mailing Address7204 Sw Durham Rd, Suite 100Portland, OR 97224-7574 · (503) 941-9869 · Fax (503) 352-5555
Fax(503) 352-5555
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
✔ NPI 1962689935 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 · 1022423
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.
7204 SW DURHAM RD, Portland, OR 97224

Other Names 1

Former Name (1)Jereme Sorenson

Other Identifiers 1

Medicaid500642758OR

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)

Jereme Dawn Nickell Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jereme Nickell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brain Injury Medicine
7204 SW DURHAM RD STE 100
Tigard, OR 97224
  • Reassigned Medicare billing, Oregon enrollment
  • 24 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 16

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

Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Psychologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Speech-Language Pathologist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Physical Medicine & Rehabilitation
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Physical Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224
Occupational Therapist
7204 SW DURHAM RD, SUITE 100
PORTLAND, OR 97224

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 Jereme Nickell's NPI number?

The NPI number for Jereme Nickell is 1962689935. It was assigned to this individual provider in the NPPES registry on January 22, 2008. The provider is also known as Jereme Sorenson.

Where is Jereme Nickell located?

Jereme Nickell practices at 7204 SW Durham Rd Suite 100, Portland, OR 97224. The listed phone number is (503) 941-9869.

What is Jereme Nickell's specialty?

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

Is Jereme Nickell enrolled in Medicare?

Yes. Jereme Nickell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jereme Nickell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jereme Nickell reassigns Medicare benefits to Brain Rehab Network Oregon, Inc. (Tigard, 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 Jereme Nickell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jereme Nickell accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jereme Nickell 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 Jereme Nickell was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.