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Export Provider Record NPI 1124798780
Delorianne Ross Sander
Active
NPI Number1124798780
NPI TypeNPI-1 Individual
SpecialtyOccupational Therapist
Provider Details
NPI1124798780
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2021-09-15
Last Updated2021-09-15
Mailing Address3550 E 46th St Apt 428
Minneapolis, MN 55406-4098
United States
Phone: (651) 356-5820
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Primary Practice Address640 Jackson St
Saint Paul, MN 55101-2595
United States
Phone: (651) 254-7042
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes225X00000X – Occupational TherapistMN106647
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About NPI 1124798780

Delorianne Ross Sander is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124798780. The primary specialty listed is Occupational Therapist. The provider is located in Saint Paul, MN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-09-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124798780?

NPI 1124798780 belongs to Delorianne Ross Sander, a Occupational Therapist in Saint Paul, MN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124798780 active?

The current status of NPI 1124798780 in the NPPES registry is Active. The record was last updated on 2021-09-15.

What specialty is NPI 1124798780?

NPI 1124798780 is classified under the taxonomy Occupational Therapist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124798780?

You can verify NPI 1124798780 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124798780?

The primary practice address on file for NPI 1124798780 is 640 Jackson St, Saint Paul, MN 55101-2595. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124798780 issued?

NPI 1124798780 was first issued (enumerated) on 2021-09-15. The NPPES record was last updated on 2021-09-15.

Practice Location Map

Delorianne Ross Sander is located at 640 Jackson St, Saint Paul, MN. Use the map below to find directions or verify the practice location.

📍 640 Jackson St, Saint Paul, MN 55101-2595  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Delorianne Ross Sander. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124798780. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Occupational Therapist106647MN
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162