NPIMap

Organization Active NPI

Sandra H Sublett, PT, LLC

  • Physical Therapist
  • Cedar Rapids, IA
National Provider Identifier
1063904068
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SANDRA H SUBLETT, PT, LLC
Doing business as
Advanced Therapy Specialists
Practice address
227 Northland CT NE
Cedar Rapids, IA 52402-6226
Phone
(319) 899-6225
NPI assigned
Jun 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Dr. Sandra Heald Sublett, PT, DPT, OCS, CLTNPI 1558540070
Title
Owner/Manager
Phone
(319) 377-0937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

227 Northland CT NE
Cedar Rapids, IA 52402-6226

Mailing address

227 Northland CT NE
Cedar Rapids, IA 52402-6226
Phone (319) 377-0937

Other names 1

  • Advanced Therapy Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628001968 IA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012265077 Receives reassigned benefits from 7 practitioners
Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Locations

227 Northland Ct NE
Cedar Rapids, IA 52402
Phone (319) 270-8492

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1063904068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 NORTHLAND CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026226",
            "telephone_number": "319-377-0937",
            "fax_number": "319-377-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 NORTHLAND CT NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026226",
            "telephone_number": "319-899-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA H SUBLETT, PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "SUBLETT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "HEALD",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "319-377-0937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,  DPT, OCS, CLT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Therapy Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.