Active NPI
Natalie San Andres, PT, DPT, OCS
- Physical Therapist
- Portland, OR
National Provider Identifier
1295165033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 60426
- Practice address
- 1720 SE Haig St
Portland, OR 97202-2852 - Phone
- (305) 979-9836
- NPI assigned
- Nov 14, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60426 | OR | Primary |
Addresses
Primary practice location
1720 SE Haig St
Portland, OR 97202-2852
Mailing address
3116 Groton Way
Unit 2
San Diego, CA 92110-5423
Phone (305) 979-9836
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500666187 | Medicaid | OR | |
| 0330363 | Other | OR | WA L&I |
| 0330364 | Other | OR | WA L&I |
| 0330365 | Other | OR | WA L&I |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1295165033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3116 GROTON WAY",
"address_2": "UNIT 2",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921105423",
"telephone_number": "305-979-9836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 SE HAIG ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972022852",
"telephone_number": "305-979-9836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN ANDRES",
"first_name": "NATALIE",
"credential": "PT, DPT, OCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500666187",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0330363",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0330364",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA L&I",
"identifier": "0330365",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.