Provider Demographics
NPI:1164700837
Name:SANDERS HAND THERAPY, INC
Entity Type:Organization
Organization Name:SANDERS HAND THERAPY, INC
Other - Org Name:SANDERS HAND & PEDIATRIC THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:OT, CHT
Authorized Official - Phone:503-318-3927
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-0965
Mailing Address - Country:US
Mailing Address - Phone:503-318-3927
Mailing Address - Fax:503-981-2323
Practice Address - Street 1:2217 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-2811
Practice Address - Country:US
Practice Address - Phone:503-982-4200
Practice Address - Fax:503-981-2323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-29
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR914221225XH1200X
225XH1200X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR914221OtherOREGON OT LICENSE
OR9611000187OtherHTCC NATIONAL CERTICATION
OR032297Medicaid
ORR161157OtherMEDICARE PTAN-BUSINESS
ORR161156OtherMEDICARE PTAN- INDIVIDUAL
ORR161157OtherMEDICARE PTAN-BUSINESS
OR032297Medicaid