Sandra Jane Pelham-Foster, OTD, MPHA, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6849 Issued in OR

Practice address

1815 NW 169TH PL Ste 3070
Beaverton, OR 97006-7368

Phone

(971) 249-2653

NPI assigned

Feb 19, 2008

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bold Pediatric Therapy Center Inc

  • Occupational Therapist
  • Beaverton, OR
  • NPI 1366964538
  NPD Authorized official

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710155205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NE BIRCHWOOD TER",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243219",
            "telephone_number": "503-313-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NW 169TH PL STE 3070",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970067368",
            "telephone_number": "971-249-2653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 SW 197th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970062475",
            "country_code": "US",
            "telephone_number": "503-313-7333",
            "fax_number": "503-848-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELHAM-FOSTER",
        "first_name": "SANDRA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "OTD, MPHA, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "6849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Peene
• Pefect Smiles Dental, LLC
• Andrew Mark Peil, PHARMD
• Beyhan Pekiner
• Oliver Lee Pelayo, MSN, RN
• Mary Gail Pellicciotti, M.D.
• Roger Peltola, RPH
• Siphanna Pen, RPH
• Madison Gail Pengra-Watanabe
• Michael Jeffrey Penkman, OTD

• Pediatric Occupational Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.