Active NPI
Michael Paul Sandago, ATC
- Athletic Trainer
- Corvallis, OR
National Provider Identifier
1144295734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-AT-660149
- Practice address
- Oregon State University Athletics
Gill Coliseum, Room 104
Corvallis, OR 97331-4104 - Phone
- (541) 737-2153
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-AT-660149 | OR | Primary |
Addresses
Primary practice location
Oregon State University Athletics
Gill Coliseum, Room 104
Corvallis, OR 97331-4104
Mailing address
2967 SE Summerfield Dr
Corvallis, OR 97333-2175
Phone (541) 753-1503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-AT-660149 | OR | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144295734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2967 SE SUMMERFIELD DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973332175",
"telephone_number": "541-753-1503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OREGON STATE UNIVERSITY ATHLETICS",
"address_2": "GILL COLISEUM, ROOM 104",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973314104",
"telephone_number": "541-737-2153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDAGO",
"first_name": "MICHAEL",
"middle_name": "PAUL",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OR",
"license": "AT-AT-660149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.