Kelsey Sandage, OTD,OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

410708 Issued in OR

Practice address

685 36TH Ave NE
Salem, OR 97301-4741

Phone

(503) 371-8860

Fax

(503) 371-8772

NPI assigned

Aug 30, 2018

Last updated

Nov 15, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1457833030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 MAIN ST APT B",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971163080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-371-8860",
            "fax_number": "503-371-8772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2843 Main St Apt B",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971163080",
            "country_code": "US",
            "telephone_number": "954-465-5309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDAGE",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-30",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "410708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheryl Ann Sanders, CRM
• Lorinda Lee Sanders, LCSW
• Sara Marie Sanders, R.D.H.
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• Occupational Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.