Active NPI
Sandra Connelly
- Physical Therapist
- Westlake Village, CA
National Provider Identifier
1295356947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6412
- Practice address
- 31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673 - Phone
- (818) 926-9057
- Fax
- (818) 647-6600
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | PT6412 | CA | Primary |
Addresses
Primary practice location
31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673
Mailing address
31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673
Phone (818) 926-9057
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 |
|---|---|---|---|
| PT6412 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1134075864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1295356947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31248 OAK CREST DR STE 120",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913615673",
"telephone_number": "818-926-9057",
"fax_number": "818-647-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31248 OAK CREST DR STE 120",
"city": "WESTLAKE VILLAGE",
"state": "CA",
"postal_code": "913615673",
"telephone_number": "818-926-9057",
"fax_number": "818-647-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELLY",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT6412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westlake Village, CA
- Conejo Hearing Center, Inc.
- Conejo Histology Lab
- Matthew R Conley, M.S.
- Connections Psychoanalysis and Psychotherapy
- Connections Psychoanalysis and Psychotherapy, PC
- Consciously Evolved Family Counseling, Inc.
- Contact Medical Services
- Gabriel Contreras, RBT, MA
- Convey Speech Pathology Inc
- Janet Marie Convey, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.