Kris Todd Sanders, MDT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3498 Issued in OR

Practice address

559 W Washington St
Burns, OR 97720-1441

Phone

(541) 647-4136

Fax

(541) 573-1263

NPI assigned

Jul 19, 2013

Sex

Male

Sole proprietor

Yes

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

Enrolled in OR

Enrollment records 1

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 and National Provider Directory roles.

• Harney District Hospital

  • Critical Access Hospital
  • Burns, OR
  • NPI 1285742338
  Medicare reassignment NPD
• Harney District Hospital

  • Rural Health Clinic/Center
  • Burns, OR
  • NPI 1013276195
  NPD
• Harney District Hospital

  • Multi-Specialty Clinic/Center
  • Burns, OR
  • NPI 1972113306
  NPD

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1205278140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-647-4136",
            "fax_number": "541-573-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 W WASHINGTON ST",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201441",
            "telephone_number": "541-647-4136",
            "fax_number": "541-573-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Burns",
            "state": "OR",
            "postal_code": "977201441",
            "country_code": "US",
            "telephone_number": "541-573-7281",
            "fax_number": "541-573-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "KRIS",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "MDT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Christine Root
• Barbara Jean Rothgeb, NURSE PRACTITIONER
• Safeway Inc
• Diana Lynn Sanchez, FAMILY PEER SUPPORT
• Jason Sanchez
• Sarah Laiosa, PC
• Sarah Laiosa, PC
• Mary Elizabeth Schimmelpfennig, FNP
• Linda Craska Selby, MD
• Ladd Shaner, C.R.N.A.

• Physical Therapist in Burns, OR
• Providers in Burns, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.