Kelly Jean Squire-Hamblet, MSOTR/L
NPI 1003249046ActiveIndividual· Occupational Therapist· North Bend, OR
Occupational Therapist (MSOTR/L) in North Bend, Oregon, licensed in OR, with an NPI issued in August 2013. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1003249046 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSOTR/L |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2013 |
| Last updated in NPPES | Oct 3, 2025 |
| Certified by provider | Oct 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 313565 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (OR) |
|---|
Other Occupational Therapist providers in North Bend
- 1952840712
- 1326759861
- 1972804938
- 1528279908