Jodi Sasadeusz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3358 Issued in OR

Practice address

12045 SE Stanley Ave
Portland, OR 97222-2938

Phone

(503) 659-2323

Fax

(503) 659-2766

NPI assigned

Aug 30, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1063793479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COUNTRY CLUB RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970342148",
            "telephone_number": "503-387-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12045 SE STANLEY AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972222938",
            "telephone_number": "503-659-2323",
            "fax_number": "503-659-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASADEUSZ",
        "first_name": "JODI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3358",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Nicholas Saruk, D.C.
• Michael Sarvi
• Juliana Sarwary, MD
• Fatu Saryon
• Brianna Sas-Ciampoli, DACM
• Kevin J Sasadeusz, M.D.
• Anna Webers Sasaki, MD, PHD
• Kestley Sumiko Sasaki
• Bradley James Sasao-Ruef, LAC
• Eizaburo Sasatomi, MD

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.