Thomas Sandoval, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5377 Issued in ME

Practice address

40 Glenridge Dr
Augusta, ME 04330-6606

Phone

(207) 626-2600

NPI assigned

Feb 9, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Priority Physical Therapy NM

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1881262749
  Medicare reassignment NPD Authorized official
• SF Sports MD & Rehab

  • Physical Therapist
  • Santa Fe, NM
  • NPI 1619470861
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1013375732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GLENRIDGE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306606",
            "telephone_number": "207-626-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GLENRIDGE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306606",
            "telephone_number": "207-626-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "326 McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875011883",
            "country_code": "US",
            "telephone_number": "505-471-0818",
            "fax_number": "505-471-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-09",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "4778",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Laura Sampson, LCSW
• Sams East Inc
• Alicia M Sanborn, PA-C
• Tasha Sanders, LMSW/CC
• Otto Roberto Sandoval Linares, MD
• Cassandra Sanko, MD
• Nicole Santarosa
• Roberta Dawn Santilli, LMSW-CC
• Joni Mary Santulli, RN-C
• Miranda Sapier, D.P.T.

• Physical Therapist in Augusta, ME
• Providers in Augusta, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.