Alfredo Sandoval

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06005003A Issued in IN

Practice address

1307 W Todd LN
Jasper, IN 47546-9696

Phone

(812) 259-9716

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1104202324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W TODD LN",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W TODD LN",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469696",
            "telephone_number": "812-259-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ALFREDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06005003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Curry Sample, M.D.
• Melinda Sams, L.C.S.W.
• Maisie Noelle Ricafort Sancho, RPT
• Brooke M Sanders
• Elizabeth Ann Sanders, FNP-C
• Carissa Sandoval, LCSW
• Phaedra Lynn Savage, RBT
• Elizabeth Saylor, RBT
• Dawn Rene Schauberger, RPH
• Katlyn Cecilia Schehr

• Physical Therapy Assistant in Jasper, IN
• Providers in Jasper, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.