Active NPI
Chana Sandberg
- Occupational Therapist
- Brookline, MA
National Provider Identifier
1477995702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11072
- Practice address
- 123 Sewall Ave
Apt. 1a
Brookline, MA 02446-5315 - Phone
- (301) 509-6884
- NPI assigned
- Jul 29, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 11072 | MA | Primary |
Addresses
Primary practice location
123 Sewall Ave
Apt. 1a
Brookline, MA 02446-5315
Mailing address
123 Sewall Ave
Apt. 1a
Brookline, MA 02446-5315
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": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1477995702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SEWALL AVE",
"address_2": "APT. 1A",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SEWALL AVE",
"address_2": "APT. 1A",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465315",
"telephone_number": "301-509-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "CHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "11072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.