Active NPI
Heidi Shirene Sanford
- Physical Therapist
- Mount Vernon, WA
National Provider Identifier
1285711911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0229998
- Practice address
- 315 Main St
Suite A1
Mt Vernon, WA 98273-2314 - Phone
- (360) 336-3432
- Fax
- (360) 336-3492
- NPI assigned
- Nov 1, 2006
- 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 | 0229998 | WA | Primary |
Addresses
Primary practice location
315 Main St
Suite A1
Mt Vernon, WA 98273-2314
Mailing address
14971 Wilbur Rd
La Conner, WA 98257
Phone (360) 466-0270
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 |
|---|---|---|---|
| 0229998 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285711911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14971 WILBUR RD",
"city": "LA CONNER",
"state": "WA",
"postal_code": "98257",
"telephone_number": "360-466-0270",
"fax_number": "360-466-0270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 MAIN ST",
"address_2": "SUITE A1",
"city": "MT VERNON",
"state": "WA",
"postal_code": "982732314",
"telephone_number": "360-336-3432",
"fax_number": "360-336-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANFORD",
"first_name": "HEIDI",
"middle_name": "SHIRENE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "0229998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, 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.