Nicole Elledge, OTR
Nicole Elledge, OTR is an Occupational Therapist in Lake Oswego, OR, registered under NPI 1003075417. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
Here is what surrounds this office in Lake Oswego, based on OpenStreetMap data collected Sep 4, 2026. Parking is available about 711 ft away. The nearest transit stop is 666 ft away, served by Kruse Way & Mercantile. A pharmacy sits 677 ft from the entrance (CVS Pharmacy), which helps if you leave with a prescription. If you arrive early, there is a coffee shop 0.42 mi away.
Getting here and what is nearby
Transit Boones Ferry Road & Kruse Way Place 235 ft ~1 min
Transit Boones Ferry Road & Spring Lane 399 ft ~2 min
Restaurant Toreados Tequila Bar & Kitchen 441 ft ~2 min
Coffee Ovation Coffee & Tea 476 ft ~2 min
4055 Mercantile Drive, Lake Oswego 97035
Mo-Fr 07:00-15:00; Sa-Su 07:00-16:00
Parking 498 ft ~2 min
Restaurant The Whole Bowl 493 ft ~2 min
4055 Mercantile Drive, Lake Oswego 97035
Mo-Su 11:00-16:00
Parking 552 ft ~3 min
Restaurant Grassa 588 ft ~3 min
4055 Mercantile Drive, Lake Oswego 97035
Mo-Su 11:00-21:00
Transit Kruse Way & Mercantile 666 ft ~3 min
Parking 711 ft ~3 min
Pharmacy CVS Pharmacy 677 ft ~3 min
4025 Mercantile Drive, Lake Oswego 97035
Mo-Fr 08:00-21:00; Sa 09:00-18:00; Su 10:00-18:00
Convenience 7-Eleven 0.20 mi ~4 min
Coffee Starbucks 0.27 mi ~6 min
15645 Boones Ferry Road, Lake Oswego 97035
Mo-Fr 04:30-20:00; Sa 05:00-19:30; Su 05:00-20:00
Coffee Ava Rosteria 0.42 mi ~9 min
Gas station Chevron 0.45 mi ~9 min
Convenience ExtraMile 0.46 mi ~10 min
15905 Boones Ferry Road, Lake Oswego 97035
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 1060547 | OR | Occupational Therapist primary |
This provider holds licence 1060547 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Occupational Therapist In Private Practice
- PAC ID
- 8820241805
- Enrollment ID
- I20121227000471
Medicare enrolment is recorded as approved under the provider type Practitioner - Occupational Therapist In Private Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Occupational Therapist covers
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. NUCC Health Care Provider Taxonomy, code 225X00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003075417 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jun 2, 2008 |
| Last updated | May 6, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | OTR |
| Practice address |
3900 KRUSE WAY PL Lake Oswego, OR 97035 (503) 607-0566 |
| Mailing address |
23532 SW STONEHAVEN ST Sherwood, OR 97140 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 0 | 7 | 5 | 4 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 0 | 7 | 1 | 4 | 2 |
Sum = 43 · next multiple of 10 = 50 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.