Active NPI
Colleen Hurd Sanders, PT
- Physical Therapist
- San Diego, CA
National Provider Identifier
1174933063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23090
- Practice address
- 4146 Tamilynn CT
San Diego, CA 92122-3428 - Phone
- (858) 442-0089
- Fax
- (858) 450-0363
- NPI assigned
- May 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | PT23090 | CA | Primary |
Addresses
Primary practice location
4146 Tamilynn CT
San Diego, CA 92122-3428
Mailing address
4146 Tamilynn CT
San Diego, CA 92122-3428
Phone (858) 442-0089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
955 Lane Ave
Suite 201
Chula Vista, CA 91914-4525
Phone (619) 421-9521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23090 | CA | MD | Clinical Social Worker |
| PT23090 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual Orthopedic Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Manual Orthopedic Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
885 Canarios Ct
Ste 110
Chula Vista, CA 91910
Phone (619) 349-0797
955 Lane Ave
Ste 201
Chula Vista, CA 91914
Phone (619) 421-9521
Organizations & group practices 2
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.
-
- Physical Therapist
- Chula Vista, CA
- NPI 1982651535
-
- Physical Therapist
- Chula Vista, CA
- NPI 1326363011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1174933063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4146 TAMILYNN CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223428",
"telephone_number": "858-442-0089",
"fax_number": "858-450-0363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4146 TAMILYNN CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921223428",
"telephone_number": "858-442-0089",
"fax_number": "858-450-0363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "COLLEEN",
"middle_name": "HURD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-01",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.