Individual provider Active NPI

Sandi Michelle Arata, PT

  • Physical Therapist
  • Daly City, CA
National Provider Identifier
1265076228
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30179 Issued in CA
Practice address
101 Lincoln Ave
Daly City, CA 94015-3997
Phone
(650) 991-1000
NPI assigned
Nov 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30179 CA Primary

Addresses

Primary practice location

101 Lincoln Ave
Daly City, CA 94015-3997

Mailing address

1969 Palm Ave
San Mateo, CA 94403-1326
Phone (425) 941-9844

Other names 1

  • Sandi Michelle Nelson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jeffersonesd.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30179CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1265076228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 PALM AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031326",
            "telephone_number": "425-941-9844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LINCOLN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153997",
            "telephone_number": "650-991-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARATA",
        "first_name": "SANDI",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "30179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jeffersonesd.org",
            "affiliation": "N",
            "address_1": "101 Lincoln Ave",
            "city": "Daly City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940153997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDI",
            "last_name": "NELSON",
            "middle_name": "MICHELLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.