Susan Sanford, PT LIC ACC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10886 Issued in MA

Practice address

238 Edgartown Vineyard Haven Road
Edgartown, MA 02539

Phone

(508) 693-3800

NPI assigned

Nov 3, 2006

Last updated

Feb 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vineyard Complementary Medicine IncGroup PAC ID 2860435005, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vineyard Complementary Medicine, Inc

  • Physical Therapy Clinic/Center
  • Edgartown, MA
  • NPI 1053490896
  Medicare reassignment Care Compare group Authorized official
• Vineyard Complementary Medicine Inc.

  • Acupuncturist
  • Edgartown, MA
  • NPI 1598238792
  NPD (past) Authorized official
• Vineyard Complementary Medicine Inc.

  • Chiropractor
  • Edgartown, MA
  • NPI 1821261942
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1104905934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951",
            "city": "WEST TISBURY",
            "state": "MA",
            "postal_code": "025750951",
            "telephone_number": "508-693-3800",
            "fax_number": "508-693-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 EDGARTOWN VINEYARD HAVEN ROAD",
            "city": "EDGARTOWN",
            "state": "MA",
            "postal_code": "02539",
            "telephone_number": "508-693-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "SUSAN",
        "credential": "PT LIC ACC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "215639",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005094",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "10886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Murray, PHARMD, RPH
• MV Occupational Therapy LLC
• Elizabeth Owens
• Colleen Picard, BS, MSPT, DPT
• Roberta Raimon, LICSW
• Savoie Physical Therapy
• Erica Sawers, D.C.
• Chantal M Sayegh
• Robert S Schull, M.D.
• Colleen M Seadale, LMFT

• Physical Therapist in Edgartown, MA
• Providers in Edgartown, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.