Active NPI
Sandra Lee Saavedra, MS, PT
- Pediatric Physical Therapist
- Eugene, OR
National Provider Identifier
1912068941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1953
- Practice address
- 1763 Moss St
Eugene, OR 97403-1946 - Phone
- (503) 510-9142
- Fax
- (541) 349-0398
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1953 | OR | Primary |
| Pediatric Physical Therapist | 2251P0200X | 00002849 | WA |
Addresses
Primary practice location
1763 Moss St
Eugene, OR 97403-1946
Mailing address
1763 Moss St
Eugene, OR 97403-1946
Phone (503) 510-9142
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047857 | Other | OR | OMAP |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1953 | OR | MD | Pediatric Physical Therapist |
| 00002849 | WA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912068941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1763 MOSS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031946",
"telephone_number": "503-510-9142",
"fax_number": "541-349-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1763 MOSS ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031946",
"telephone_number": "503-510-9142",
"fax_number": "541-349-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAAVEDRA",
"first_name": "SANDRA",
"middle_name": "LEE",
"credential": "MS, PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OR",
"license": "1953",
"primary": true
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "WA",
"license": "00002849",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OMAP",
"identifier": "047857",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.