Active NPI
Sandra Nathaly C Androvich, PTA
- Physical Therapist
- Las Cruces, NM
National Provider Identifier
1174787089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- A-0805
- Practice address
- 1350 Hillrise Cir
Las Cruces, NM 88011-4759 - Phone
- (575) 526-1161
- Fax
- (575) 523-1108
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | A-0805 | NM | Primary |
Addresses
Primary practice location
1350 Hillrise Cir
Las Cruces, NM 88011-4759
Mailing address
2600 East Idado Ave
Apt 196 N
Las Cruces, NM 88011
Phone (915) 238-9076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-0805 | NM | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1174787089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 EAST IDADO AVE",
"address_2": "APT 196 N",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "915-238-9076",
"fax_number": "575-523-1108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HILLRISE CIR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114759",
"telephone_number": "575-526-1161",
"fax_number": "575-523-1108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "C ANDROVICH",
"first_name": "SANDRA",
"middle_name": "NATHALY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "A-0805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.