Sara Helena Otten, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5313 Issued in OR

Practice address

450 NW Greenwood Ave
Redmond, OR 97756-1531

Phone

(541) 923-0410

Fax

(541) 923-7393

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sara Helena Grafil Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61288

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Pacific Medical Group, PC

  • Clinic/Center
  • Lake Oswego, OR
  • NPI 1477636561
  NPD (past)
• Star Physical Therapy

  • Physical Therapist
  • Redwood City, CA
  • NPI 1730267204
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1093882607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "TROUTDALE",
            "state": "OR",
            "postal_code": "970600578",
            "telephone_number": "503-489-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GREENWOOD AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561531",
            "telephone_number": "541-923-0410",
            "fax_number": "541-923-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "SARA",
        "middle_name": "HELENA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241820",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "GRAFIL",
            "middle_name": "HELENA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dayana Ortega Camarero, CHW
• Lacey Raye Ortiz Lopez
• Chassen Ortiz
• Sibela Osmanovic, MS, NCC, CPC-I
• Jocelyn Otani
• Brian Charles Oulman, O.D.
• Mara Owens
• Kelsi Jo Oyler
• Roza Saitlin Pacifico, NP
• Tracy L Page

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.