Active NPI
Sandra B Ruff, OTR, CHT
- Hand Occupational Therapist
- Lake Oswego, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 778
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 098565020 | Other | OR | BCBSO |
| 8419921 | Medicaid | WA | |
| 130665 | Other | WA | WA L&I |
| 230522 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | OR | MD | Hand Occupational Therapist |
| OT00003326 | WA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go to Ortho LLC | Current | 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
- 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.
-
- Orthopedic Physical Therapist
- Lake Oswego, OR
- NPI 1083206155
-
- Orthopaedic Surgery Physician
- Lake Oswego, OR
- NPI 1427200021
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.