Active NPI
Bryanna Sandberg
- Occupational Therapist
- Pinehurst, NC
National Provider Identifier
1962231407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17023
- Practice address
- 5 Dowd Cir
Pinehurst, NC 28374-7932 - Phone
- (910) 295-2609
- NPI assigned
- Aug 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17023 | NC | Primary |
Addresses
Primary practice location
5 Dowd Cir
Pinehurst, NC 28374-7932
Mailing address
5 Dowd Cir
Pinehurst, NC 28374-7932
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17023 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722470400000",
"number": "1962231407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DOWD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283747932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 DOWD CIR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283747932",
"telephone_number": "910-295-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDBERG",
"first_name": "BRYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-01",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
- Rainie Leann Ryser
- Irene Naa-Shorme Salley, MSN RN
- Saul Arturo Salvador, M.D.
- Brent Edward Sammann, DPT
- Jenna Susan Samuels
- Bailey Sanders, M.D.
- Qadir Abdul Rahman Sanders
- Sandhills Behavioral Care, PLLC
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.