Active NPI
Jan K. Sangder, PT
- Physical Therapist
- Renton, WA
National Provider Identifier
1215926548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00002765
- Practice address
- 601 S Carr Rd
Suite 100
Renton, WA 98055-5866 - Phone
- (425) 227-3700
- NPI assigned
- Oct 19, 2005
- 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 | PT00002765 | WA | Primary |
Addresses
Primary practice location
601 S Carr Rd
Suite 100
Renton, WA 98055-5866
Mailing address
601 S Carr Rd
Suite 100
Renton, WA 98055-5866
Phone (425) 227-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8333783 | Medicaid | WA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacmed Clinics | Past | Accepting new patients |
Organizations & group practices 1
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.
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- Seattle, WA
- NPI 1922214212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215926548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S CARR RD",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980555866",
"telephone_number": "425-227-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S CARR RD",
"address_2": "SUITE 100",
"city": "RENTON",
"state": "WA",
"postal_code": "980555866",
"telephone_number": "425-227-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANGDER",
"first_name": "JAN",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00002765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8333783",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.