Individual provider Active NPI

Sandra Grace Rende, PT

  • Physical Therapist
  • Holly Springs, NC
National Provider Identifier
1114335510
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14905 Issued in NC
Practice address
201 Holly Thorn Trce
Holly Springs, NC 27540-7556
Phone
(914) 450-6681
NPI assigned
Jul 29, 2014
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X P14905 NC
Physical Therapist 225100000X P14905 NC Primary

Addresses

Primary practice location

201 Holly Thorn Trce
Holly Springs, NC 27540-7556

Mailing address

201 Holly Thorn Trce
Holly Springs, NC 27540-7556
Phone (914) 450-6681

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204002122 NC Practitioner - Physical Therapist in Private Practice 7214259068 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Luna Care Physical Therapy LLCGroup PAC ID 8921418757, 66 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

144 Sierra Dr
Hendersonville, NC 28739-7964
Phone (866) 525-3175

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14905NCMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 9, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 17, 2025 Accepting new patients
Duke University Health System, Inc. Physical Therapist CurrentSince Jan 17, 2025 Accepting new patients
Chatham Hospital, Inc. CurrentSince Feb 17, 2016 Accepting new patients
Duke University Health System, Inc. Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1114335510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HOLLY THORN TRCE",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407556",
            "telephone_number": "914-450-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HOLLY THORN TRCE",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275407556",
            "telephone_number": "914-450-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDE",
        "first_name": "SANDRA",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "P14905",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.