Active NPI
D Roger Sand Jr., PT
- Orthopedic Physical Therapist
- Lincoln, NE
National Provider Identifier
1245283845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 552
- Practice address
- 1651 N 86TH St Ste 100
Lincoln, NE 68505-3719 - Phone
- (402) 484-7117
- NPI assigned
- May 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 552 | NE | Primary |
Addresses
Primary practice location
1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Mailing address
1651 N 86TH St Ste 100
Lincoln, NE 68505-3719
Phone (402) 484-7117
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 |
|---|---|---|---|
| 552 | NE | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591660800000",
"number": "1245283845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 N 86TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053719",
"telephone_number": "402-484-7117",
"fax_number": "402-484-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 N 86TH ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685053719",
"telephone_number": "402-484-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAND",
"first_name": "D",
"middle_name": "ROGER",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NE",
"license": "552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.