Elizabeth Anne Sanders
Individual provider Active NPI Physical Therapy Assistant · Walnut Hill, FL
NPI 1285330985 · NPPES record last updated Feb 3, 2023
Key facts
- NPI
- 1285330985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 31931 (FL)
- Practice address
- 7646 Highway 97
Walnut Hill, FL 32568-1730 - Phone
- (850) 748-7482
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31931 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 31931 | FL | Yes |
Addresses
Primary practice location
7646 Highway 97
Walnut Hill, FL 32568-1730
Mailing address
7646 Highway 97
Walnut Hill, FL 32568-1730
Phone (850) 748-7482
Other providers in Walnut Hill, FL
All providers in Walnut Hill, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.