ADRIANA SANDOVAL – Physical Therapist, NPI 1902440910

ADRIANA SANDOVAL is a healthcare provider. based in Beaverton, Oregon. specializing in Physical Therapist. They hold a License No. 63420 (OR). The NPI Number for ADRIANA SANDOVAL is 1902440910

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ADRIANA SANDOVAL
NPI
1902440910
Phone
Not provided
Address
14090 SW TEAL BLVD # 17B
Enumeration Date
1 November 2019
Last Update Date
1 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033571706
Graduation Year
2019 (7 years ago)
PAC ID
8123452620
Group Practice PAC ID
0941365514
Professional Enrollment ID
I20191216001455
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for ADRIANA SANDOVAL

  • 14090 SW TEAL BLVD # 17B

    BEAVERTON, OR 970089210

    Phone:

    Type: Mailing

  • 3838 PACIFIC AVE

    FOREST GROVE, OR 971162224

    Phone: (503) 357-1706

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191216001455IPhysical Therapist In Private PracticeORTBD
I20240712002581IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97008)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941365514View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

How do payers reference ADRIANA SANDOVAL?
For ADRIANA SANDOVAL, use NPI 1902440910 as the unique 10-digit identifier.
Is there an active status for ADRIANA SANDOVAL?
For scheduling context, ADRIANA SANDOVAL is shown as active in the registry.
What expertise is attributed to ADRIANA SANDOVAL?
ADRIANA SANDOVAL's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ADRIANA SANDOVAL?
Travel planning: use Beaverton, Oregon as the reference point for ADRIANA SANDOVAL, then confirm.
When was this NPI issued?
Enumeration for ADRIANA SANDOVAL is noted as November 1, 2019 where the registry provides it.

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