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Deactivated NPI 1619163466 Deactivated / Inactive NPI Female Practitioner

Mina H Al-Khalisi , MOT, OTR, L

Occupational Therapist • Gresham, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mina Al-Khalisi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2007
NPI Deactivation Date October 21, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Mina Al-Khalisi, MOT, OTR, L was a registered Occupational Therapist practicing in Gresham, OR. Throughout an active medical career spanning 16 years, Mina Al-Khalisi provided care at the practice location at 3457 NE DIVISION ST until profile deactivation on 2023-10-21.

Practice Location & Contact Primary Location

Practice Address

3457 Ne Division St

Gresham, OR 970304602

Telephone 5036671965
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Gresham, OR (1513 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License OR 1062196

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Lisa Hartl

Physical Therapy Assistant

NPI 1083809313
Maria Baumgarden , PT

Physical Therapist

NPI 1285947598

Physical Therapist

Sara Allender , OTR, L

Occupational Therapist

NPI 1386913408

Occupational Therapist Registered, L

Liliya Bachinskaya , OTR

Occupational Therapist

NPI 1538609466

Occupational Therapist Registered

Kathryn Grotheer , OTR, L

Occupational Therapist

NPI 1609052232

Occupational Therapist Registered, L

Todd Greblo , MS CCC-CFY

Speech-Language Pathologist

NPI 1619254349

MSCCCCFY

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2023

Record deactivated on October 21, 2023

NPI Profile Active September 14, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2007

Registered at 3457 NE DIVISION ST, GRESHAM, OR 970304602 (Tel: 5036671965)

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Updated Business Mailing Address September 14, 2007

Registered at 829 NE 91ST AVE, PORTLAND, OR 972205753 (Tel: 5032543112)

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Provider Name / Credentials Updated September 14, 2007

Recorded as MINA AL-KHALISI, MOT, OTR/L

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2007

Occupational Therapist (License #1062196 in OR)

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Initial NPI Registration & Enumeration September 14, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619163466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2007
Last Update: September 14, 2007
Deactivation Date: October 21, 2023

Mailing Address

829 Ne 91st Ave

Portland, OR 972205753

Phone: 5032543112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.