Active NPI
Anna Jessica Maria Sahlstrom, P.T.
- Physical Therapist
- Beaverton, OR
National Provider Identifier
1659531820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4798
- Practice address
- 14645 SW Farmington Rd
Beaverton, OR 97007-2727 - Phone
- (503) 718-5355
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 4798 | OR | Primary |
Addresses
Primary practice location
14645 SW Farmington Rd
Beaverton, OR 97007-2727
Mailing address
14855 SW Kraft Loop
Tigard, OR 97223-0686
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4798 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213142400000",
"number": "1659531820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14855 SW KRAFT LOOP",
"city": "TIGARD",
"state": "OR",
"postal_code": "972230686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14645 SW FARMINGTON RD",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970072727",
"telephone_number": "503-718-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAHLSTROM",
"first_name": "ANNA",
"middle_name": "JESSICA MARIA",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "4798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.