Provider Demographics
NPI:1073202008
Name:CATCHING DREAMS OT LLC
Entity Type:Organization
Organization Name:CATCHING DREAMS OT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ILANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAPOPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MOTR/L
Authorized Official - Phone:770-238-9345
Mailing Address - Street 1:16418 SW BLUE JAY RD
Mailing Address - Street 2:
Mailing Address - City:TERREBONNE
Mailing Address - State:OR
Mailing Address - Zip Code:97760-7914
Mailing Address - Country:US
Mailing Address - Phone:770-238-9345
Mailing Address - Fax:
Practice Address - Street 1:16418 SW BLUE JAY RD
Practice Address - Street 2:
Practice Address - City:TERREBONNE
Practice Address - State:OR
Practice Address - Zip Code:97760-7914
Practice Address - Country:US
Practice Address - Phone:770-238-9345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1205239720OtherNPI