Sandra Lynn Daniel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25518 Issued in CA

Practice address

7290 Navajo Rd
Suite 111
San Diego, CA 92119-1629

Phone

(619) 535-6964

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Lynn Bordeau Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Prevention Wellness and Restorative Solutions Physical Therapy Corp

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1437502275

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Encinitas, CA
  • NPI 1588610315
  NPD (past)
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)
• Eggleton Langton Physical Therapy Management Services

  • Physical Therapist
  • Chula Vista, CA
  • NPI 1225084056
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1013993211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191629",
            "telephone_number": "619-535-6964",
            "fax_number": "619-724-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7290 NAVAJO RD",
            "address_2": "SUITE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191629",
            "telephone_number": "619-535-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SANDRA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT25518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BORDEAU",
            "middle_name": "LYNN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Belinda Emily Daniel, M.D.
• Jacquelyn Rose Daniel, PT, DPT
• Matthew Daniel, MA - AMFT
• Michelle M. Daniel, MD
• Samantha Marie Daniel
• Sarah Daniel
• Tonya Danielle Daniel, LCSW
• Rachel Daniell, MD
• Danielle Loguidice Licensed Clinical Social Worker Professional Corporation
• Ariana Daniels

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.