Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anna Vivatson, OT

Individual provider Occupational Therapist · NPI 1649154774

Anna Vivatson, OT is an Occupational Therapist in Private Practice in Portland, Oregon. Qualified in 2025, 1 year ago. Practices with Progressive Rehabilitation Associates LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

4640 S Macadam Ave Ste 90
Portland, OR 97239-4285
Phone: (503) 292-0765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 527318 (OR)

Record details

NPI number1649154774
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorYes
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Progressive Rehabilitation Associates Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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