Provider Demographics
NPI:1386058790
Name:SANDERS HAND THERAPY, INC.
Entity type:Organization
Organization Name:SANDERS HAND THERAPY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:OT, CHT
Authorized Official - Phone:503-318-3927
Mailing Address - Street 1:PO BOX 1114
Mailing Address - Street 2:
Mailing Address - City:CANBY
Mailing Address - State:OR
Mailing Address - Zip Code:97013-1114
Mailing Address - Country:US
Mailing Address - Phone:503-982-4200
Mailing Address - Fax:503-981-2323
Practice Address - Street 1:8995 SW MILEY RD
Practice Address - Street 2:SUITE 109
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-5484
Practice Address - Country:US
Practice Address - Phone:503-318-3927
Practice Address - Fax:503-266-1526
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANDERS HAND THERAPY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-06-13
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X, 225XH1200X, 225XP0200X
OR914221261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR032297Medicaid
OR500644370Medicaid
OR500676074Medicaid
OR500640948Medicaid