Lisa Jean Sandberg, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13203 Issued in MA

Practice address

222 Forbes Rd
Braintree, MA 02184-2706

Phone

(781) 356-7400

NPI assigned

Dec 3, 2019

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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Physical Therapy Services of Quincy Bay LLCGroup PAC ID 3870945660, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Massachusetts Physical Therapy Services of Quincy Bay, LLC

  • Physical Therapist
  • Quincy, MA
  • NPI 1568162170
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1043857592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OTIS ST",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020482059",
            "telephone_number": "781-696-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 FORBES RD",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842706",
            "telephone_number": "781-356-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDBERG",
        "first_name": "LISA",
        "middle_name": "JEAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Jean Sampson, RN
• Jarell Samuel, FNP-BC
• Adele M San Clemente, OD
• San Wan, MDPC
• Sand Dollar Counseling, LLC
• Alexandria Marie Sapia, LCSW
• Amanda Sauco
• Donna Marie Sauro
• Karen J Sawayer, NP
• Dana Jill Sawitz

• Physical Therapist in Braintree, MA
• Providers in Braintree, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.