Active NPI
Thomas Richard Sanderson, PT
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1306836192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PRT1364
- Practice address
- 6206 E Pima St
Ste 3
Tucson, AZ 85712-7000 - Phone
- (520) 733-6227
- Fax
- (520) 733-7328
- NPI assigned
- Oct 24, 2005
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PRT1364 | AZ | Primary |
Addresses
Primary practice location
6206 E Pima St
Ste 3
Tucson, AZ 85712-7000
Mailing address
6206 E Pima St
Ste 3
Tucson, AZ 85712-7000
Phone (520) 733-6227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0460450 | Other | AZ | BCBS |
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 |
|---|---|---|---|
| 1364 | AZ | MD | Optometrist |
| PRT1364 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306836192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 E PIMA ST",
"address_2": "STE 3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857127000",
"telephone_number": "520-733-6227",
"fax_number": "520-733-7328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 E PIMA ST",
"address_2": "STE 3",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857127000",
"telephone_number": "520-733-6227",
"fax_number": "520-733-7328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "THOMAS",
"middle_name": "RICHARD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "PRT1364",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0460450",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
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.