Individual provider Active NPI

Corey Joe McChesney, OTR/L, OTD

  • Hand Occupational Therapist
  • Woodburn, OR
National Provider Identifier
1700448123
Registry record updated Oct 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
423141 Issued in OR
Practice address
2217 Country Club Rd
Woodburn, OR 97071-2811
Phone
(503) 982-4200
Fax
(503) 981-2323
NPI assigned
Jul 5, 2019
Last updated
Oct 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 423141 OR
Hand Occupational Therapist 225XH1200X 423141 OR Primary

Addresses

Primary practice location

2217 Country Club Rd
Woodburn, OR 97071-2811

Mailing address

PO Box 965
Wilsonville, OR 97070-0965
Phone (503) 318-3927

Other identifiers 2

IdentifierTypeStateIssuer
500766629MedicaidOR
423141OtherORSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sandershandtherapy.com Direct

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": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635552000000",
    "number": "1700448123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970700965",
            "telephone_number": "503-318-3927",
            "fax_number": "503-981-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 COUNTRY CLUB RD",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970712811",
            "telephone_number": "503-982-4200",
            "fax_number": "503-981-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHESNEY",
        "first_name": "COREY",
        "middle_name": "JOE",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-05",
        "last_updated": "2021-10-30",
        "certification_date": "2021-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "423141",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "423141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500766629",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "423141",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sandershandtherapy.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "company website",
            "address_1": "2217 Country Club Rd",
            "city": "Woodburn",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970712811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodburn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2021; 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.