Teressa M Sanders, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

614 East Blvd
Rapid City, SD 57701

Phone

(605) 348-9530

Fax

(605) 737-0874

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Center for Physical Rehabilitation, LLC

  • Physical Therapist
  • Twin Falls, ID
  • NPI 1427029610
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1225147952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57701",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 Peaceful Pines Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Black Hawk",
            "state": "SD",
            "postal_code": "577189556",
            "country_code": "US",
            "telephone_number": "605-716-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "TERESSA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MISSISSIPPI",
            "identifier": "PT5044",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IDAHO",
            "identifier": "PT2294",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PTL-8875",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Mark Samuelson, MD
• Jade J. Sanchez, FNP-C
• Sanctuary Counseling, LLC
• Ardith Sand, MSW
• Rebecca Rose Sanders, PTA
• Katie Sandvig, PT,DPT
• David E Sandvik, MD
• Linda Jane Sandvik, RN BSN CDE
• Sanford Health
• Sanford School of Medicine of the University of South Dakota Clinical

• Physical Therapist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.