Active NPI
Sascha Ann Gervais, PT
- Physical Therapist
- Albany, OR
National Provider Identifier
1295787265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4469
- Practice address
- 3615 Spicer Dr SE
Albany, OR 97322-7043 - Phone
- (541) 967-7551
- Fax
- (541) 967-5095
- NPI assigned
- May 17, 2006
- 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 | 4469 | OR | Primary |
Addresses
Primary practice location
3615 Spicer Dr SE
Albany, OR 97322-7043
Mailing address
3615 Spicer Dr SE
Albany, OR 97322-7043
Phone (541) 967-7551
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297922 | Medicaid | OR | |
| B060407 | Other | OR | PACIFICSOURCE |
| A002 | Other | OR | TRICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4469 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mighty Oaks Children'S Therapy Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Albany, OR
- NPI 1902935414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295787265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 SPICER DR SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973227043",
"telephone_number": "541-967-7551",
"fax_number": "541-967-5095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 SPICER DR SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973227043",
"telephone_number": "541-967-7551",
"fax_number": "541-967-5095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERVAIS",
"first_name": "SASCHA",
"middle_name": "ANN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "297922",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICSOURCE",
"identifier": "B060407",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "A002",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, 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.