Individual provider Active NPI

Sandra B Ruff, OTR, CHT

  • Hand Occupational Therapist
  • Lake Oswego, OR
National Provider Identifier
1760466189
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
778 Issued in OR
Practice address
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone
(503) 850-9950
Fax
(866) 252-2247
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT00003326 WA
Hand Occupational Therapist 225XH1200X 778 OR Primary

Addresses

Primary practice location

4103 Mercantile Dr
Lake Oswego, OR 97035-2556

Mailing address

4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Phone (503) 850-9950

Other identifiers 4

IdentifierTypeStateIssuer
098565020OtherORBCBSO
8419921MedicaidWA
130665OtherWAWA L&I
230522MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050630000878 WA Practitioner - Occupational Therapist in Private Practice 1557307477
I20120105000040 OR Practitioner - Occupational Therapist in Private Practice 1557307477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go to Ortho, LLCGroup PAC ID 9537575543, 8 clinicians

Practice addresses (Care Compare)

2695 SW Cedar Hills Blvd
Suite 140
Beaverton, OR 97005-1415
Phone (503) 850-9950

4103 Mercantile Dr
Lake Oswego, OR 97035-2556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
778ORMDHand Occupational Therapist
OT00003326WAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Go to Ortho LLC CurrentSince Jun 29, 2021 Accepting new patients

Locations

2695 SW Cedar Hills Blvd
Ste 140
Beaverton, OR 97005
Phone (503) 850-9950

4103 Mercantile Dr
Lake Oswego, OR 97035
Phone (503) 850-9940

Interoperability endpoints

  • Direct secure messaging: sandra.huff.p1@direct.reboundmd.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1760466189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 MERCANTILE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352556",
            "telephone_number": "503-850-9950",
            "fax_number": "866-252-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 MERCANTILE DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970352556",
            "telephone_number": "503-850-9950",
            "fax_number": "866-252-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "SANDRA",
        "middle_name": "B",
        "credential": "OTR, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "WA",
            "license": "OT00003326",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OR",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSO",
            "identifier": "098565020",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8419921",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I",
            "identifier": "130665",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230522",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.