Andrea Sanderson, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00373000 Issued in NJ

Practice address

9 Maple Dr
North Caldwell, NJ 07006-4548

Phone

(973) 226-0711

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

Yes

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roseland Spinal Rehabilitation Center PCGroup PAC ID 0749254597, 2 clinicians

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.

• Roseland Spinal Rehabilitation Center PC

  • Chiropractor
  • Roseland, NJ
  • NPI 1437216330
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1083906812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAPLE DR",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064548",
            "telephone_number": "973-226-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAPLE DR",
            "city": "NORTH CALDWELL",
            "state": "NJ",
            "postal_code": "070064548",
            "telephone_number": "973-226-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "ANDREA",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00373000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Pelzman, M.D.
• Chung J Peng, M.D.
• Jennifer Lynn Rhodes, MSN, FNP
• Stephanie J Rosen, PA-C
• Mark Vincent Russo, D.C.
• Carmela Sansone, PHD
• Debra Schachtel, LPC
• Lynne M Sibilia, MA, CCC-SLP
• Speranza Therapeutics Inc.
• Daniel M. Spinelli, PT, DPT

• Physical Therapist in North Caldwell, NJ
• Providers in North Caldwell, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.