Avery A Brockberg, OTD, OTR/L
Occupational Therapist in Beaverton, Oregon
1801773361- Practice location
- 8285 SW Nimbus Ave Ste 174, Beaverton, OR 97008-6447
- Phone
- 503-579-7327
- Fax
- —
- Last updated
- August 18, 2025
Avery A Brockberg, OTD, OTR/L is a Occupational Therapist based in Beaverton, OR. Avery A Brockberg, OTD, OTR/L holds the professional credentials of OTD, OTR/L. The NPI number for Avery A Brockberg, OTD, OTR/L is 1801773361 and holds license No. 537257 (OR). The current practice location address is 8285 SW Nimbus Ave Ste 174, Beaverton, OR 97008-6447 and the office can be reached by phone at 503-579-7327. The NPI was assigned on August 18, 2025 and the record was last updated in NPPES on August 18, 2025.
●Provider Profile Details
- NPI Number
- 1801773361
- Provider Name
- Avery Aaron Brockberg
- Credential
- OTD, OTR/L
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Enumeration Date
- August 18, 2025
- Last Update Date
- August 18, 2025
- Certification Date
- August 18, 2025
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 8285 SW Nimbus Ave Ste 174
Beaverton, OR 97008-6447 - City
- Beaverton
- State
- Oregon
- ZIP
- 97008-6447
- Country
- US
- Phone Number
- 503-579-7327
✉Business Mailing Address
- Address
- 423 NW Uptown Ter Unit 2B
Portland, OR 97210-5558 - City
- Portland
- State
- OR
- ZIP
- 97210-5558
- Phone Number
- 605-760-1074
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | 537257 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Beaverton, OR
View all providers in Beaverton →?Frequently Asked Questions
What is the NPI number of Avery A Brockberg, OTD, OTR/L?
The NPI number of Avery A Brockberg, OTD, OTR/L is 1801773361. It was assigned on August 18, 2025 and is currently active in the NPPES registry.
What is the specialty of Avery A Brockberg, OTD, OTR/L?
Avery A Brockberg, OTD, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X) and holds license No. 537257 (OR).
Where does Avery A Brockberg, OTD, OTR/L practice?
The practice location is 8285 SW Nimbus Ave Ste 174, Beaverton, OR 97008-6447. The office can be reached at 503-579-7327 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801773361 directly on the NPPES registry website at npiregistry.cms.hhs.gov.