Organization Active NPI

Sasha Marie Ringdahl Iversen DO, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1538413653
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P4106 Issued in TX
Legal business name
SASHA MARIE RINGDAHL IVERSEN DO, PLLC
Practice address
9432 Katy Fwy Ste 400
Houston, TX 77055-6367
Phone
(281) 912-3483
NPI assigned
Oct 29, 2012
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sasha Iversen, D.O.
Title
Sole Member
Phone
(281) 912-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X P4106 TX Primary

Addresses

Primary practice location

9432 Katy Fwy Ste 400
Houston, TX 77055-6367

Mailing address

13702 Sandford Lake Cir
Houston, TX 77077-2793
Phone (281) 912-3483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1538413653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13702 SANDFORD LAKE CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772793",
            "telephone_number": "281-912-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9432 KATY FWY STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770556367",
            "telephone_number": "281-912-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA MARIE RINGDAHL IVERSEN DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "IVERSEN",
        "authorized_official_first_name": "SASHA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "281-912-3483",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "P4106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.