Individual provider Active NPI

Angela Patricia Sanchez, DPT

  • Physical Therapist
  • Bloomfield Hills, MI
National Provider Identifier
1063799385
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017694 Issued in MI
Practice address
60 W Big Beaver Rd Ste 125
Bloomfield Hills, MI 48304-3915
Phone
(248) 309-8900
NPI assigned
Nov 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26963 FL
Physical Therapist 225100000X 5501017694 MI Primary

Addresses

Primary practice location

60 W Big Beaver Rd Ste 125
Bloomfield Hills, MI 48304-3915

Mailing address

60 W Big Beaver Rd Ste 125
Bloomfield Hills, MI 48304-3915
Phone (248) 309-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130305000488 FL Practitioner - Physical Therapist in Private Practice 7416102090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Flint Medical College Or New Orleans University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everglades Physical Therapy IncGroup PAC ID 2466871728, 2 clinicians

Practice addresses (Care Compare)

8520 SW 185TH Ter
Cutler Bay, FL 33157-7248
Phone (305) 562-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26963FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everglades Physical Therapy Inc Physical Therapist CurrentSince Nov 3, 2021 Accepting new patients
HQ of Bloomfield Hills LLC Physical Therapist CurrentSince Aug 4, 2024 Accepting new patients
Progressive Physical Therapy Center Inc Physical Therapist PastSince Jun 1, 2007 Accepting new patients

Locations

60 W Big Beaver Rd
Ste 125
Bloomfld Hls, MI 48304
Phone (248) 309-8900

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1063799385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043915",
            "telephone_number": "248-309-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 W BIG BEAVER RD STE 125",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043915",
            "telephone_number": "248-309-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ANGELA",
        "middle_name": "PATRICIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26963",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.