Individual provider Active NPI

Andrew James Sorensen

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1053952705
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013311-01 Issued in NY
Practice address
28 Clinton St Ste 9
Saratoga Springs, NY 12866-2391
Phone
(518) 886-9572
Fax
(518) 909-6370
NPI assigned
Oct 3, 2019
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013311-01 NY Primary

Addresses

Primary practice location

28 Clinton St Ste 9
Saratoga Springs, NY 12866-2391

Mailing address

28 Clinton St
Saratoga Springs, NY 12866-2391
Phone (518) 886-9572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008000066 NY Practitioner - Chiropractic 3173942349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spring Back Chiropractic, PLLCGroup PAC ID 6507241122, 2 clinicians

Practice addresses (Care Compare)

28 Clinton St
Saratoga Springs, NY 12866-2391
Phone (518) 886-9572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X013311-01NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spring Back Chiropractic, PLLC Chiropractor CurrentSince Jul 14, 2022 Accepting new patients

Locations

28 Clinton St
Saratoga Springs, NY 12866
Phone (518) 466-1075

28 Clinton St
Ste 9
Saratoga Springs, NY 12866
Phone (518) 886-9572

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1053952705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "518-886-9572",
            "fax_number": "518-909-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CLINTON ST STE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662391",
            "telephone_number": "518-886-9572",
            "fax_number": "518-909-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013311-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.