Sandra Lee Vangilder, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

27795 Issued in CA

Practice address

1115 Oceanic Dr
Encinitas, CA 92024-4008

Phone

(760) 822-3030

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G3 Physical Therapy and Wellness Center PCGroup PAC ID 6204139744, 15 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.

• G3 Physical Therapy and Wellness Center PC

  • Physical Therapist
  • Solana Beach, CA
  • NPI 1669845798

  CA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Function for Life Physical Therapy, Inc.

  • Physical Therapist
  • Carlsbad, CA
  • NPI 1568767309
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202688000000",
    "number": "1164528014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 OCEANIC DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244008",
            "telephone_number": "760-822-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 OCEANIC DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244008",
            "telephone_number": "760-822-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGILDER",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "27795",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Vanderjagt, LMFT
• Caitlin Vanderlip, CCC-MA, SLP
• Nicole Vane, DMD
• Gary Vanetsky, PA-C
• Michael Vangilder, PT
• Ulices Vazquez Soto
• Irene Vecchio, MA, MFT
• Racheal Velazquez, RN
• Natalie Theresa Veldkamp, LMFT
• Colleen Veneri, NP

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.