James Lewis Sanderson, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19155 Issued in MA

Practice address

7 Alfred St Ste 100
Woburn, MA 01801-1900

Phone

(781) 281-2391

Fax

(781) 305-3385

NPI assigned

Aug 4, 2010

Sex

Male

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 MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletic Edge Physical TherapyGroup PAC ID 0042568990, 9 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.

• Athletic Edge Physical Therapy

  • Physical Therapy Clinic/Center
  • Woburn, MA
  • NPI 1578052650

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1144534926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LIAMS LN",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444257",
            "telephone_number": "781-281-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ALFRED ST STE 100",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011900",
            "telephone_number": "781-281-2391",
            "fax_number": "781-305-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Park St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Andover",
            "state": "MA",
            "postal_code": "018103684",
            "country_code": "US",
            "telephone_number": "978-409-2380",
            "fax_number": "978-409-2670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "JAMES",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-04",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klara Georgy Salib-Rasla, DMD
• Mycala L Salmonsen
• Emily Salvaggio
• Holli Samet
• Ricardo Sanchez, MD
• Sangfroid Healthcare Disciplines LLC
• Neeti Sanghrajka Shah
• Matthew Sanita
• Cory Sanon
• Christina Santorelli, LICSW

• Physical Therapist in Woburn, MA
• Providers in Woburn, 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 10, 2020; 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.