Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sukanta Richard Nelson, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1396567228

Sukanta Richard Nelson, OTD, OTR/L is an Occupational Therapist in Private Practice in Hillsboro, Oregon. Qualified in 2024, 2 years ago. Practices with Prestige Rehab OR LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1805 SE 61st Ct
Hillsboro, OR 97123-2919
Phone: (503) 778-0354
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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 523004 (OR)

Record details

NPI number1396567228
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedOctober 30, 2024
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prestige Rehab Or Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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