Active NPI
Taryn G Anderson, OT
- Hand Occupational Therapist
- Woodburn, OR
National Provider Identifier
1760051775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 454818
- Practice address
- 2217 Country Club Rd
Woodburn, OR 97071-2811 - Phone
- (503) 982-4200
- Fax
- (503) 981-2323
- NPI assigned
- Jun 23, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 454818 | OR | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 454818 | OR | |
| Hand Occupational Therapist | 225XH1200X | 454818 | 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 practice location 1
8995 SW Miley Rd Ste 109
Wilsonville, OR 97070-5485
Phone (503) 694-8366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454818 | Other | OR | STATE OT LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | wb.sandershand@gmail.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 454818 | OR | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1760051775",
"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": [
{
"address_1": "8995 SW Miley Rd Ste 109",
"address_purpose": "LOCATION",
"city": "Wilsonville",
"state": "OR",
"postal_code": "970705485",
"country_code": "US",
"telephone_number": "503-694-8366",
"fax_number": "503-694-8581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "TARYN",
"middle_name": "G",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "454818",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "OR",
"license": "454818",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "OR",
"license": "454818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OT LICENSE",
"identifier": "454818",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "wb.sandershand@gmail.com",
"affiliation": "N",
"endpointDescription": "workplace email",
"use": "DIRECT",
"useDescription": "Direct",
"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 Jul 23, 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.