Kaitlin Lynn Sanders, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120711472401 Issued in UT

Practice address

4870 E Jackson St
Muncie, IN 47303-4432

Phone

(765) 254-9717

NPI assigned

Feb 24, 2021

Last updated

Feb 24, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana University Health Ball Memorial Hospital, Inc.

  • Pediatric Rehabilitation Medicine Physician
  • Muncie, IN
  • NPI 1073164646

  Physical Therapist

  NPD
• Indiana University Health Ball Memorial Hospital, Inc.

  dba IU Health Pharmacy Jackson

  • Community/Retail Pharmacy
  • Muncie, IN
  • NPI 1073271698
  NPD

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1154915759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W ROYERTON RD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473039426",
            "telephone_number": "765-717-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-254-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KAITLIN",
        "middle_name": "LYNN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "120711472401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianvito L Salerno, M.D.
• Wailea Faye Caritan Salva, MD
• Jonah Sanchez
• Rory Paul Sandberg, M.D.
• Charles Earl Sanders Jr., M.D.
• Safiya Sankari
• Camilo Santiago, MD
• Sasha N Santiago
• Sidarth Saravanan
• Ravi R Sarin, MD

• Physical Therapist in Muncie, IN
• Providers in Muncie, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.