David Wesley Sanderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-02123 Issued in KS

Practice address

631 E. Crawford St
Suite 220
Salina, KS 67401-5116

Phone

(785) 825-2323

Fax

(785) 825-2325

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwind Physical Therapy IncGroup PAC ID 1052461985, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwind Physical Therapy Inc.

  • Physical Therapist
  • Salina, KS
  • NPI 1689794661
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341532800000",
    "number": "1306948096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E. CRAWFORD ST",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E. CRAWFORD ST",
            "address_2": "SUITE 220",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-825-2323",
            "fax_number": "785-825-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "DAVID",
        "middle_name": "WESLEY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2012-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-02123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND SHIELD",
            "identifier": "140466",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003430B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nicole D Samuelson, AUD
• Victoria V Sander, LMSW
• Carlie Sanders
• Lane Sanders, DPT
• Peeran D. Sandhu, M.D.
• Sandstone Bridge Center, LLC
• Sarah McMillen Lcmft LLC (Wellspring Psychotherapy)
• Angela Sartain
• Heather Savery, PT

• Physical Therapist in Salina, KS
• Providers in Salina, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.