Active NPI
Jennifer Marshall Sandvig, PT, DPT
- Physical Therapist
- Forest, VA
National Provider Identifier
1194157412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208151
- Practice address
- 14521 Forest Rd Ste D
Forest, VA 24551 - Phone
- (434) 485-8555
- Fax
- (434) 485-8594
- NPI assigned
- Aug 9, 2013
- 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 | 2305208151 | VA | Primary |
Addresses
Primary practice location
14521 Forest Rd Ste D
Forest, VA 24551
Mailing address
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone (434) 485-8500
Other practice location 1
2405 Atherholt Rd
Lynchburg, VA 24501-2184
Phone (434) 485-8500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsandvig19206@direct.orthovirginia.com | Other |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208151 | VA | MD | Physical Therapist |
Interoperability endpoints
- jsandvig19206@direct.orthovirginia.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1194157412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2405 ATHERHOLT RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245012184",
"telephone_number": "434-485-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14521 FOREST RD STE D",
"city": "FOREST",
"state": "VA",
"postal_code": "24551",
"telephone_number": "434-485-8555",
"fax_number": "434-485-8594"
}
],
"practiceLocations": [
{
"address_1": "2405 Atherholt Rd",
"address_purpose": "LOCATION",
"city": "Lynchburg",
"state": "VA",
"postal_code": "245012184",
"country_code": "US",
"telephone_number": "434-485-8500",
"fax_number": "434-485-8599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDVIG",
"first_name": "JENNIFER",
"middle_name": "MARSHALL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-09",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208151",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsandvig19206@direct.orthovirginia.com",
"affiliation": "N",
"endpointDescription": "Dr. Sandvig direct address",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "secure messaging",
"address_1": "2405 Atherholt Rd",
"city": "Lynchburg",
"state": "VA",
"country_code": "US",
"postal_code": "245012184",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.